Clin Exp Otorhinolaryngol.  2014 Dec;7(4):338-341. 10.3342/ceo.2014.7.4.338.

Endoscopic-Assisted Total Thyroidectomy via Lateral Keloid Scar Incision

• Woo SH

• KMID: 2278378
• DOI: http://doi.org/10.3342/ceo.2014.7.4.338

Abstract

Thyroidectomy is traditionally performed by the transcervical approach. To avoid or reduce visible scarring, diverse innovative surgical trials have been reported. Here we report a patient who underwent endoscopic thyroidectomy via a lateral keloid scar due to a previous traffic accident. A 30-year-old woman presented with a papillary thyroid carcinoma. Total thyroidectomy was performed via a keloid scar incision. The keloid scar was then revised. The total thyroidectomy was successful, resulting in no acute complications, such as neural injury, hematoma, or seroma formation. The keloid scar healed with excellent cosmetic results and the patient remains free of disease 12 months after excision. Endoscopic total thyroidectomy via a lateral keloid scar incision healed not only the physical disease but also the mental disease.

Keyword

Endoscopes; Keloid; Thyroid; Wound healing

MeSH Terms

Accidents, Traffic
Adult
Cicatrix*
Endoscopes
Female
Hematoma
Humans
Keloid*
Seroma
Thyroid Gland
Thyroid Neoplasms
Thyroidectomy*
Wound Healing

Figure

• 

  Fig. 1 The photography of serial scar change. (A) Preoperative state. Postoperative (B) 2 days, (C) 2 weeks, and (D) 12 months.

• 

  Fig. 2 The photography of operative view. (A) In operation room, we can see the thyroid marking and left lateral keloid scar. (B) For the revision of keloid scar and surgical pathway, we draw the incision on the keloid scar. (C) The sternocleidomastoid muscle (*) was retracted inferiorly and the skin flap and strap muscle were retracted superiorly. We can see the left thyroid gland (black arrow). (D) The left thyroid was retracted superiorly. The recurrent laryngeal nerve was found (white arrow) and the inferior parathyroid was found (black arrow). (E) The recurrent laryngeal nerve (white arrows) and trachea were found. The right thyroid (arrowhead) was found over the trachea. (F) After right thyroid was removed, the right recurrent laryngeal nerve (white arrow) was found over the trachea (arrowhead).

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