Anatomic exposure is promoted and supported by proper body alignment in collaboration with safe and secure surgical positioning.The optimal presentation of the thyroid and surrounding structures of the neck can be achieved with the patient in supine or beach-chair position.Select the positioning considerations that enhance visualization and access to important structures.

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Proper patient positioning on the OR bed is crucial for optimal exposure of the thyroid gland.The patient is positioned supine.Some surgeons prefer a beach-chair position or a wedge under the back.Hyperextension of the neck is required for maximal exposure.A headrest provides proper support,keeps the head straight,and prevents aggravation of prior neck problems.Alternatively,a shoulder roll may be used.The arms are tucked at the side,the elbows are padded to protect the ulnar nerve,the palms face inward,and the wrist is maintained in a neutral position.Reduction of venous congestion can be accomplished by a 30-degree reverse Trendelenburg's tilt of the OR bed.

Anatomic Exposure Is Promoted and Supported by Proper Body Alignment