The natural neck crease as an anatomic landmark for thyroid surgery incision

The natural neck crease as an anatomic landmark for thyroid surgery incision

The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Between 2016 and 2018 anatomical measurements were performed on 118 participants during a presurgical ultrasound exam and were verified during surgery. The d...

Full description

Saved in:
Bibliographic Details
Published in:The surgeon (Edinburgh) Vol. 19; no. 6; pp. e366 - e371
Main Authors: Elkanovich, Tali, Hajouj, Majd, Ronen, Ohad
Format: Journal Article
Language:English
Published: Elsevier Ltd 01-12-2021
Subjects:
Anatomy
Incision
Neck crease
Thyroid surgery
Ultrasound
Incision
Thyroid surgery
Neck crease
cm
Anatomy
Ultrasound
BMI
QoL
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Between 2016 and 2018 anatomical measurements were performed on 118 participants during a presurgical ultrasound exam and were verified during surgery. The data were stratified according to age, sex, patient's body mass index (BMI), and height. The cricoid cartilage was found to be lower than the second skin neck crease by 0.2 ± 0.9 cm on average and the thyroid isthmus lower by 0.9 ± 1 cm from the second neck crease. No correlation was found to subjects' age, BMI, or height. Patient satisfaction, measured by the dermatologic life quality index, was high. A surgical incision made along the second neck crease will allow for a predicted and proper exposure in thyroid surgeries. The possibility of concealing the surgical scar in the natural neck skin crease can increase patients' aesthetic satisfaction. •What is the relation between the thyroid gland and the second neck crease?.•We found that the thyroid gland isthmus is at a constant location relative to the second neck crease.•There are no differences in the crease location with respect to age, gender, or BMI.•The second neck crease is a reliable landmark for incision in thyroid surgeries.•It allows for appropriate surgical exposure and good aesthetic outcomes.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:1479-666X
2405-5840
DOI:10.1016/j.surge.2020.09.006