OBJECTIVES: Robotic thyroidectomy accomplished by an axillary route has been associated with a number of dramatic complications. We introduce an access method that is less dangerous, easier to perform, and more direct. Methods: A facelift approach to the thyroid compartment is described. Results: Advantages of the facelift approach over the axillary approach include: easier positioning (without the risk of brachial plexopathy), shorter distance to the thyroid bed, no chest wall numbness, clavicle is not obstructing, carotid sheath at much lower risk of injury. Conclusions: We describe a safer and easier robotic technique that involves a facelift incision and therefore maintains the advantages of no neck incision, but without the increased risks associated with an axillary approach.
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