Revision Thyroid Surgery: The Central Neck and Beyond (2023 AMW) Session
2023 AAO-HNSF Annual Meeting & OTO Experience
PROGRAM DESCRIPTION: Recurrent thyroid carcinoma is relatively common, yet few guidelines exist to aid in surgical disease management. In this course, we will discuss the pre-surgical work up of patients requiring repeat surgery with emphasis on the common locations of disease involvement. The anatomic relationships in the paratracheal space and upper mediastinum will be reviewed. Management of the strap muscles, recurrent laryngeal nerve, trachea, larynx, esophagus and major vessels will be addressed. Multiple ways to approach and identify relevant anatomy will be reviewed with applications to both revision surgery and complex initial surgery.OUTCOME OBJECTIVE 1: To understand the surgical work up of re operative thyroid carcinoma patients.OUTCOME OBJECTIVE 2: To understand anatomic considerations in the paratracheal space and upper mediastinum with application to complex and revision thyroid surgery.OUTCOME OBJECTIVE 3: To implement strategies to safely identify normal structures and achieve gross total resection in invasive thyroid cancer.BACKGROUND STATEMENT: Recurrent thyroid cancer is common, yet few guidelines exist to aid in surgical management. Understanding the anatomic relationships and how they change in revision surgery aid in choosing the best surgical approach and minimizing complications.