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Retroauricular robotic thyroidectomy with concomitant neck-lift surgery.
Ann Surg Oncol. 2015 Jan; 22(1):172.AS

Abstract

BACKGROUND

Robotic-assisted thyroid surgery using a retroauricular approach was reported as a novel remote access technique for hemithyroidectomy. We report our experience with this remote access technique using a single incision in the retroauricular crease and occipital hairline incision. For the first time, we show additional neck-lift surgery performed concomitantly to achieve better cosmetic outcomes.

METHODS

Robotic retroauricular left hemithyroidectomy with concomitant neck-lift surgery was performed in a 59-year-old female patient who was referred for management of a 1.7 cm thyroid nodule located in the mid-lower right thyroid lobe, with fine-needle aspiration biopsy suggestive for follicular neoplasm. The patient had redundant submental skin in her neck, and was planning for a future neck-lift surgery. A concomitant neck lift was performed by the plastic surgeon using the same retroauricular approach to perform the operation. The patient agreed to participate in Institutional Review Board approved protocol.

RESULTS

Total operative time was 115 min-flap creation time was 50 min, robot docking time was 10 min, operative console time was 25 min, and concomitant neck-lift surgery extended for 30 min. Estimated blood loss was approximately 30 ml. The patient was discharged home on the same day of surgery and had no postoperative complications. Final pathology confirmed benign follicular adenoma.

CONCLUSIONS

Our experience with robotic retroauricular thyroidectomy showed that it is a feasible and safe remote access approach. We suggest that concomitant neck lift can be done in a select group of patients with excess skin on the neck. This approach can be offered to patients with benign and indeterminate thyroid lesions, and future prospective studies are warranted to evaluate the oncological efficacy of this approach in patients with thyroid cancer.

Authors+Show Affiliations

Department of Surgery, Division of Endocrine and Oncologic Surgery, Tulane University School of Medicine, New Orleans, LA, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24419757

Citation

Mohamed, Salah Eldin, et al. "Retroauricular Robotic Thyroidectomy With Concomitant Neck-lift Surgery." Annals of Surgical Oncology, vol. 22, no. 1, 2015, p. 172.
Mohamed SE, Saeed A, Moulthrop T, et al. Retroauricular robotic thyroidectomy with concomitant neck-lift surgery. Ann Surg Oncol. 2015;22(1):172.
Mohamed, S. E., Saeed, A., Moulthrop, T., & Kandil, E. (2015). Retroauricular robotic thyroidectomy with concomitant neck-lift surgery. Annals of Surgical Oncology, 22(1), 172. https://doi.org/10.1245/s10434-013-3470-z
Mohamed SE, et al. Retroauricular Robotic Thyroidectomy With Concomitant Neck-lift Surgery. Ann Surg Oncol. 2015;22(1):172. PubMed PMID: 24419757.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retroauricular robotic thyroidectomy with concomitant neck-lift surgery. AU - Mohamed,Salah Eldin, AU - Saeed,Ahmad, AU - Moulthrop,Thomas, AU - Kandil,Emad, Y1 - 2014/01/14/ PY - 2013/11/27/received PY - 2014/1/15/entrez PY - 2014/1/15/pubmed PY - 2015/8/26/medline SP - 172 EP - 172 JF - Annals of surgical oncology JO - Ann. Surg. Oncol. VL - 22 IS - 1 N2 - BACKGROUND: Robotic-assisted thyroid surgery using a retroauricular approach was reported as a novel remote access technique for hemithyroidectomy. We report our experience with this remote access technique using a single incision in the retroauricular crease and occipital hairline incision. For the first time, we show additional neck-lift surgery performed concomitantly to achieve better cosmetic outcomes. METHODS: Robotic retroauricular left hemithyroidectomy with concomitant neck-lift surgery was performed in a 59-year-old female patient who was referred for management of a 1.7 cm thyroid nodule located in the mid-lower right thyroid lobe, with fine-needle aspiration biopsy suggestive for follicular neoplasm. The patient had redundant submental skin in her neck, and was planning for a future neck-lift surgery. A concomitant neck lift was performed by the plastic surgeon using the same retroauricular approach to perform the operation. The patient agreed to participate in Institutional Review Board approved protocol. RESULTS: Total operative time was 115 min-flap creation time was 50 min, robot docking time was 10 min, operative console time was 25 min, and concomitant neck-lift surgery extended for 30 min. Estimated blood loss was approximately 30 ml. The patient was discharged home on the same day of surgery and had no postoperative complications. Final pathology confirmed benign follicular adenoma. CONCLUSIONS: Our experience with robotic retroauricular thyroidectomy showed that it is a feasible and safe remote access approach. We suggest that concomitant neck lift can be done in a select group of patients with excess skin on the neck. This approach can be offered to patients with benign and indeterminate thyroid lesions, and future prospective studies are warranted to evaluate the oncological efficacy of this approach in patients with thyroid cancer. SN - 1534-4681 UR - https://www.unboundmedicine.com/medline/citation/24419757/Retroauricular_robotic_thyroidectomy_with_concomitant_neck_lift_surgery_ L2 - https://dx.doi.org/10.1245/s10434-013-3470-z DB - PRIME DP - Unbound Medicine ER -