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The procedure described by CPT® Code 60240 refers to a total or complete thyroidectomy, which is a surgical operation involving the removal of the entire thyroid gland. The thyroid gland is an essential endocrine organ located in the neck, composed of two lobes connected by a central isthmus. This procedure is typically indicated for various thyroid conditions, including malignancies, hyperthyroidism, or large goiters that may cause compressive symptoms. During the operation, the neck is extended to provide optimal access, and a transverse incision is made in a natural skin crease to minimize scarring. The surgeon carefully dissects through the subcutaneous tissue and the platysma muscle to reach the thyroid gland. Key anatomical structures, such as the middle thyroid vein, recurrent laryngeal nerve, and parathyroid glands, are meticulously identified and preserved to prevent complications. The procedure involves ligating blood vessels associated with the thyroid, dividing the Berry ligament, and elevating the isthmus from the trachea before the complete removal of the thyroid gland. Post-operative care may include the placement of suction drains to manage any potential fluid accumulation at the surgical site.
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