oa Southern African Journal of Anaesthesia and Analgesia - Thyroidectomy under local anaesthesia : experience with giant goitres : case report



Extracted from text ... CASE REPORT Southern African Journal of Anaesthesia & Analgesia - July 2004 29 Thyroidectomy under local anaesthesia: experience with giant goitres the conventional site because of the possibility of burrowed skin from the upper part of the chest in patients with giant goiters. After deepening the incision down to the platysma, the upper flap is raised as far as the thyroid notch and the lower flap down to the suprasternal notch. The investing fascia is then incised vertically in the midline which can sometimes be difficult to identify because of the distorted anatomy. After separating the strap muscles at ..


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