Enhance surgical precision, reduce complications

The magnification has emerged as one of the most important technological advances that enhance the safety and effectiveness of thyroid surgery. According to documented studies, the use of magnifying optical aids contributes substantially to the reduction of complications such as recurrent laryngeal nerve palsy and hypoparathyroidism.. 

Why is magnification important?

Accuracy in locating and preparing the recurrent laryngeal nerve is critical to avoid injury and hoarseness. At the same time, complete and safe removal of the thyroid, especially important in cases of malignancy, requires excellent visual inspection.

The magnification of the surgical field allows the surgeon to work with greater detail and confidence, minimizing risks. pubmed

Optical Magnification Tools

Surgical loupes

The most common choice in practice surgical loupes offer 2x to 4x magnification and are combined with high-intensity frontal illumination, providing a clear and bright field.

Advantages:

• Portability and freedom of movement

• Personalization per surgeon

• Ideal for daily surgical practice

Disadvantages:

• It takes time to adapt (it is important to use them from a young age)

• Fixed magnification level

Surgical microscope

The surgical microscope offers excellent image quality and the ability to change magnification during surgery. As ENT surgeons, we are already familiar with its use from ear surgery.

Disadvantages of thyroidectomy:

• Limited flexibility of movement, as the scope of the operation is constantly changing

• An increase in surgical time is observed

Surgical exoscope

The exoscope is the latest addition to imaging technology. Two cameras record a three-dimensional image, which is displayed on a screen and viewed by the team with special 3D glasses. e.g. the Aeos 3D 4K Exoscope by Aesculap, which is in operation at the Inter-Balkan Medical Center of Thessaloniki, with which Mr. Psychogios collaborates.

Advantages:

• Excellent sharpness and depth of field

• Ability to adjust magnification

• Participation of other team members in the same visualization (training)

Challenges:

• Requires constant repositioning of the camera, especially in small incisions (e.g. thyroidectomy)

• Increases the time of the operation

What do the studies show?

Modern meta-analyses including over 800 patients confirm that the use of optical magnification:

• Reduces the possibility of temporary recurrent laryngeal nerve palsy

• Helps in careful preparation and complete removal of the thyroid

In conclusion

The magnification is an indispensable ally in modern thyroid surgery. It enhances accuracy, reduces the risk of complications, and improves the educational experience of younger colleagues.

Professor Psychogios uses customized surgical loupes in all thyroidectomy and parotidectomy procedures, etc. — incorporating the advantages of technology for the best possible surgical outcome.