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1 results

  • Step-by-step illustrated guide to central neck dissection

  • F Chu, R De Berardinis, G Pietrobon, M Tagliabue, G Giugliano, M Ansarin
  • Journal:
    The Journal of Laryngology & Otology / Volume 135 / Issue 12 / December 2021
    Published online by Cambridge University Press:
    01 October 2021, pp. 1123-1128
    Print publication:
    December 2021
  • Background

    The incidence of thyroid carcinoma has been increasing worldwide and surgery is the primary treatment. Central compartment dissection of the neck is a very delicate procedure given the risks of recurrent laryngeal nerve injury and hypoparathyroidism.

    Methods

    This paper gives a detailed description of this surgical technique in a patient affected by papillary carcinoma of the thyroid gland, supported by highly representative iconographic materials from a tertiary department.

    Results

    A stepwise description is provided, along with high-quality pictures and specific tips and tricks. Although neck dissection is a well-codified procedure, the fine details of this surgical technique are not currently available and are still the prerogative of the expert surgeon.

    Conclusion

    The central neck compartment contains several vulnerable structures; damage to these structures would affect patients’ lives, possibly permanently. Anatomical knowledge and standardisation are needed for all surgeons, particularly new surgeons (such as residents) who cannot rely simply on experience.