Behind The Knife: The Surgery Podcast

Behind the Knife ABSITE 2026 - Thyroid

Dec 3, 2025
Discover the intricacies of thyroid anatomy as hosts break down vascular structures and nerves that are crucial during surgery. They dive into thyroid physiology, explaining the roles of thyroglobulin and calcitonin. Learn about the complexities of hyperthyroidism, including lab results and treatment options. The podcast also covers important preoperative considerations and the evaluation of thyroid nodules. With insights on various thyroid cancers, treatments, and quick clinical pearls, there's plenty of high-yield information to enhance your surgical knowledge.
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ADVICE

Respect Thyroid Vascular Anatomy

  • Preserve the superior and inferior thyroid vascular anatomy when operating to avoid bleeding complications.
  • Identify the superior thyroid artery from the external carotid and the inferior from the thyrocervical trunk before ligation.
ADVICE

Protect Laryngeal Nerves

  • Protect the superior laryngeal and recurrent laryngeal nerves during thyroid surgery to maintain voice and airway.
  • Consider preoperative laryngoscopy for high-risk patients to document baseline vocal cord function.
INSIGHT

Key Hormone Origins And Markers

  • Thyroglobulin from follicular cells facilitates T3 and T4 synthesis and is a useful tumor marker.
  • Calcitonin from C cells lowers serum calcium and serves as a medullary thyroid cancer surveillance marker.
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