The patient is drifted off to sleep with medication through an I. An incision is made in the lower half of the neck following the skin lines. The underlying muscles are opened to expose the thyroid gland. The surgeon then removes part or all of the thyroid gland while taking great care not to injure nearby blood vessels or nerves. Every attempt is made to preserve the parathyroid glands in their normal positions.
The parathyroid glands are small glands which produce a hormone that controls calcium levels in the bloodstream. After the thyroid is removed, the muscles are put back together and the skin is closed with surgical glue.
A small dressing using steri-strips is often applied. In addition to utilizing conventional surgical techniques, the University of Michigan endocrine surgeons offer minimally invasive surgical options for thyroidectomy for a select group of patients.
The technique offers distinct advantages over conventional open surgery including smaller incisions, less pain and reduced scarring. For more information about thyroid surgery, including information about what to expect before and after your operation, visit the About Your Thyroid Surgery page on the Division of Endocrine Surgery website. To schedule an appointment to discuss thyroid surgery, please call us at , or visit our online appointment request page. For more appointment information, including information about insurance, visit our Endocrine Surgery Appointments page.
Thyroid Surgery. When is Thyroid Surgery Needed? Lubricant gel will be applied to the dorsal side of the mask to ease the insertion to the oropharynx. The cuff of the mask will be filled with air by syringe until the indication of the integrated cuff pressure indicator is appropriate according to the manufacturer green indication. If the indication changes during surgery, air will be added or removed accordingly.
If the ventilation of the patient is inadequate at the beginning or anytime during the operation, the mask will be removed and the patient will be intubated Device: LMA Protector After induction of general anesthesia, the LMA Protector will be applied for airway management. If the ventilation of the patient is inadequate at the beginning or anytime during the operation, the mask will be removed and the patient will be intubated.
Active Comparator: Endotracheal tube After induction of general anesthesia, the endotracheal tube be applied for airway management. The size of the tube will be 7. The cuff of of the tube will be filled with 10ml air. Device: Endotracheal tube After induction of general anesthesia, the endotracheal tube be applied for airway management.
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Postoperative sore throat. Postoperative surgical site pain. Postoperative dysphagia. Secondary Outcome Measures : Airway management difficulty. Airway management complications. Emergence coughing. Postoperative paracetamol consumption. When rescue analgesia is required mg paracetamol will be administered. The frequency of paracetamol administration will be documented. Postoperative hoarseness. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below.
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Thyroid Cancer: Thyroidectomy | Memorial Sloan Kettering Cancer Center
Last Update Posted : November 14, Study Description. The main purpose of the study is to determine if the application of the LMA Protector causes less laryngopharyngeal symptoms than the endotracheal tube after minimally invasive thyroidectomy. The secondary purpose is to confirm that the LMA Protector is a safe alternative airway management device for minimally invasive thyroidectomy.
Arms and Interventions. After induction of general anesthesia, the LMA Protector will be applied for airway management. After induction of general anesthesia, the endotracheal tube be applied for airway management.
Minimally Invasive Robotic Thyroidectomy
Outcome Measures. Primary Outcome Measures : Postoperative sore throat. The patients will be asked to evaluate their postoperative constant pharyngeal pain by using the 11grade Numerical Rating Scale 0 no pain, 10 maximum possible pain. The patients will be asked to evaluate their postoperative surgical trauma pain by using the 11grade Numerical Rating Scale 0 no pain, 10 maximum possible pain. The patients will be asked to evaluate their postoperative pharyngeal pain caused after swallowing one sip of water by using the 11grade Numerical Rating Scale 0 no pain, 10 maximum possible pain.
Any complication from airway management will be recorded like bleeding from the stomatopharynx or the larynx, tooth trauma, lip trauma, etc. The incidence of cough upon emergence from general anesthesia will be recorded. The patients will be instructed to ask for analgesics as needed. Eligibility Criteria.
- Laryngeal Mask Airway (LMA) Protector for Minimally Invasive Thyroidectomy;
- Minimally Invasive Total Thyroidectomy | Columbia University Department of Surgery.
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Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Inclusion Criteria: Total thyroidectomy with the minimally invasive method. American Society of Anesthesiologists ASA classification Exclusion Criteria: Clinical conditions which cause any kind of airway obstruction or compromise. Tracheal displacement greater than 2cm from midline. History of gastroesophageal reflux disease. Expected difficult airway. History of impossible intubation. Contacts and Locations. Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials. More Information. A prospective randomized controlled trial of the laryngeal mask airway versus the endotracheal intubation in the thyroid surgery: evaluation of postoperative voice, and laryngopharyngeal symptom.