Minimally invasive retroauricular approaches to the neck: A paradigm shift

Introduction: The conventional approach for surgery of the thyroid and neck is performed through an open transcervical incision. Endoscopic and robotic neck surgery via retroauricular approach is a viable cosmetic alternative with improved functional outcomes. Materials and Methods: This is a retrospective analysis of patients who underwent endoscopic or robotic assisted neck surgeries from September 2016 to December 2019 at a tertiary cancer center in Eastern India. Results: A total of 54 patients were operated by the retroauricular approach. We encountered minimal complications and better cosmetic results compared to the standard open approach. A significant reduction in operative time over the course of the study was observed, signifying an easier learning curve. Conclusion: Retroauricular approach is a feasible cosmetic minimally invasive approach to neck surgeries with satisfactory functional outcomes, which may be implemented in developing country like ours where cosmesis is rapidly gaining popularity.