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

Tali Elkanovich; Majd Hajouj; Ohad Ronen

doi:10.1016/j.surge.2020.09.006

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

Tali Elkanovich, Majd Hajouj, Ohad Ronen

Bar-Ilan University - Azrieli Faculty of Medicine

Research output: Contribution to journal › Article › peer-review

3 Scopus citations

Abstract

Background: The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Methods: 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. Findings: 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. Conclusions: 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.

Original language	English
Pages (from-to)	e366-e371
Journal	Surgeon
Volume	19
Issue number	6
DOIs	https://doi.org/10.1016/j.surge.2020.09.006
State	Published - Dec 2021

Bibliographical note

Publisher Copyright:
© 2020 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland

Funding

We wish to thank Mrs. Orly Yakir for the statistical analysis, and Mrs. Tobie Kuritsky and Galilee CBR for editorial assistance. The article was written as part of the requirements of the School of Medicine in the Galilee, Bar-Ilan University, Israel, for an MD degree T.E. This study was presented at the 6th World Congress of International Federation of Head and Neck Oncologic Societies, September 2018, Buenos Aires, Argentina.

Funders	Funder number
6th World Congress of International Federation of Head and Neck Oncologic Societies
School of Medicine in the Galilee, Bar-Ilan University

Keywords

Anatomy
Incision
Neck crease
Thyroid surgery
Ultrasound

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10.1016/j.surge.2020.09.006

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title = "The natural neck crease as an anatomic landmark for thyroid surgery incision",

abstract = "Background: The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Methods: 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. Findings: 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. Conclusions: 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.",

keywords = "Anatomy, Incision, Neck crease, Thyroid surgery, Ultrasound",

author = "Tali Elkanovich and Majd Hajouj and Ohad Ronen",

note = "Publisher Copyright: {\textcopyright} 2020 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland",

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doi = "10.1016/j.surge.2020.09.006",

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AU - Hajouj, Majd

AU - Ronen, Ohad

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N2 - Background: The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Methods: 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. Findings: 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. Conclusions: 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.

AB - Background: The anatomical relations between the neck skin crease and the thyroid gland isthmus and cricoid cartilage are important for surgical planning. Methods: 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. Findings: 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. Conclusions: 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.

KW - Anatomy

KW - Incision

KW - Neck crease

KW - Thyroid surgery

KW - Ultrasound

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

Abstract

Bibliographical note

Funding

Keywords

Access to Document

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