This is a video that I made for the residents. I took a lateral to medial approach, which is fine as long as you avoid the brachial plexus and blood vessels.
Lately I prefer to use a 25G and go trans thyroid.
Trans Thyroid Advantages- I find that it is a shorter distance and quite easy
Trans Thyroid Disadvantages- the thyroid tends to move superior and inferior with respiration. The lateral approach allows a more stable field yet
Thyroid Vasculature (superior thyroid artery)
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