Arfan Asmadi

Pembimbing:
Dr. Iskandar, Sp.B (K) Onk
Dr. Noerfaisal, Sp.B (K) Onk
Dr. HT. Farizal Fadil, Sp.B

Anatomy of Thyroid Gland

VASKULARISASI

VASKULARISASI

The Variation of Thyroid

Gland Anatomy

Anatomy of Parathyroid
Gland

Anatomi of Laringeal Nerve

Variation of Recurrent Laryngeal Nerve

Anatomy

Preoperative Examination

Indication

Surgical Option

Landmark

Step

Kocker Transverse Collar

Incision

4-5 cm in length
Parallel or in a natural skin
crease
Two fingers from sternal
noth

Skin Platysma Flap

PL
T

S
C

Avascular Midline Incision

Capsular Dissection

Isthmus dijepit dengan menggunakan klem

panjang dan di resecsi. Sayatan di jahit dengan
jahitan jelujur.

Complications
I. Neck Hematoma
.

Open the wound

to decompress the airway.
Under anesthesia
the hematoma must
evacuate and controlled
the bleeding.

3. Recurrent Laryngeal Nerve

Damage

Unilater
al

Paralysis of the unilateral

muscle that control vocal cord
tension.
Changes the voice and affects
the swallowing mechamism.

Bilateral

Paralysis of bilateral
vocal cord.
Very limited airway
lumen.

Thank You