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Updated: Jun 18, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

[Transoral endoscopic thyroidectomy. Part 1: rationale and anatomical studies].

T Wilhelm¹, J Harlaar, A Kerver

¹Klinik für HNO-Heilkunde, Kopf-/Hals- und plastische Gesichtschirurgie, HELIOS Klinikum Borna, Borna, Deutschland. thomas.wilhelm@helios-kliniken.de

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen

|November 27, 2009

Summary

This summary is machine-generated.

The transoral approach offers a minimally invasive endoscopic thyroidectomy by utilizing anatomical planes for reduced surgical trauma. This natural orifice surgery technique establishes a safe, non-traumatic access route to the thyroid gland.

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Area of Science:

Surgical innovation in head and neck procedures.
Anatomical studies for surgical access.
Minimally invasive surgical techniques.

Context:

Traditional thyroidectomy techniques can cause significant surgical trauma.
Extracervical approaches, while hiding incisions, involve extensive dissection, negating minimally invasive benefits.
Need for a gentler surgical access for thyroidectomy.

Purpose:

To develop a non-traumatic, endoscopic minimally invasive thyroidectomy approach.
To reduce surgical access trauma by utilizing anatomical planes.
To establish the transoral approach for thyroid surgery.

Summary:

Anatomical dissections on cadavers and surgical specimens identified safe access routes via the mouth.
The transoral approach allows trocar placement in the sublingual and oral vestibule regions.
This facilitates direct access to an avascular subplatysmal area and the pretracheal space for endoscopic thyroidectomy.

Impact:

Establishes the foundation for a novel natural orifice surgery (NOS) procedure for thyroidectomy.
Demonstrates the potential for minimum impact and gentle dissection.
Offers a promising alternative to conventional thyroidectomy with reduced access trauma.