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Step-by-step illustrated guide to central neck dissection

Published online by Cambridge University Press:  01 October 2021

F Chu ,
R De Berardinis ,
G Pietrobon ,
M Tagliabue ,
G Giugliano  and
M Ansarin
F Chu
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
R De Berardinis*
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
G Pietrobon
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
M Tagliabue
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
G Giugliano
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
M Ansarin
Affiliation:
Department of Otorhinolaryngology and Head and Neck Surgery, European Institute of Oncology, Istituto di Ricovero e Cura a Carattere Scientifico (‘IRCCS’), Milan, Italy
*
Author for correspondence: Dr Rita De Berardinis, Department of Otolaryngology and Head and Neck Surgery, European Institute of Oncology, IRCCS, Via Ripamonti 435, 20141Milano, Italy E-mail: rita.deberardinis@ieo.it
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Abstract

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.

Keywords

ThyroidThyroidectomyRecurrenceCentral CompartmentDissection
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 135 , Issue 12 , December 2021 , pp. 1123 - 1128
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

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Footnotes

Dr R De Beradinis takes responsibility for the integrity of the content of the paper

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