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Updated: May 30, 2026

Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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Robotic facelift thyroidectomy: patient selection and technical considerations.

David J Terris1, Michael C Singer, Melanie W Seybt

  • 1Department of Otolaryngology-Head and Neck Surgery, Georgia Health Thyroid Center, Georgia Health Sciences University, Augusta, GA 30912-4060, USA. dterris@georgiahealth.edu

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|August 23, 2011
PubMed
Summary
This summary is machine-generated.

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A new robotic facelift thyroidectomy (RFT) technique offers a safe and less challenging remote access option for thyroid surgery. This gasless, single-port method avoids pitfalls of previous approaches, enabling outpatient procedures.

Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Head and Neck Surgery

Background:

  • Remote access thyroidectomy techniques have emerged, but often involve difficult positioning and complications.
  • Limited acceptance of existing remote access methods due to technical challenges and patient safety concerns.

Purpose of the Study:

  • To describe the technical details and patient selection for a novel robotic facelift thyroidectomy (RFT) approach.
  • To present an alternative to existing remote access thyroidectomy methods that aims to overcome common pitfalls.

Main Methods:

  • Analysis of preclinical (inanimate, cadaver) and clinical studies.
  • Development and refinement of a 3-arm RFT technique utilizing a specific base location and patient positioning (supine, arms tucked, slight Trendelenburg).

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  • Collection and analysis of demographic and surgical data, including patient characteristics and complications.

    • Main Results:

    • Successful completion of a series of RFT procedures in a patient cohort.
    • All procedures were performed robotically without conversion to open surgery.
    • The majority of cases were performed on an outpatient, drainless basis.

    Conclusions:

    • The described gasless, single-port RFT technique is feasible, safe, and technically less demanding than other remote access methods.
    • This approach, utilizing a postauricular and occipital hairline port, offers a promising alternative for thyroidectomy.
    • Further investigation in larger patient populations and high-volume centers is recommended to validate findings.