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Endoscope-assisted facelift thyroid surgery: an initial experience using a new endoscopic technique.

Jun-Ook Park1, Sang-Yeon Kim, Byung-Joon Chun

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, South Korea.

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The facelift incision approach is a safe and feasible technique for endoscopic thyroid surgery, offering a direct route with adequate workspace and minimal dissection. This method successfully preserved critical structures and resulted in good patient outcomes.

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Area of Science:

  • Surgical Oncology
  • Endocrine Surgery
  • Minimally Invasive Surgery

Background:

  • A novel facelift incision modification was developed for robotic thyroid surgery.
  • This approach showed potential advantages over existing methods.
  • The current study evaluates its feasibility and safety in endoscopic thyroid surgery.

Purpose of the Study:

  • To investigate the feasibility and safety of the facelift approach for both robotic and endoscope-assisted thyroid surgery.
  • To assess the efficacy of this technique in thyroid lobectomy with central lymph node dissection.

Main Methods:

  • Endoscope-assisted facelift thyroid lobectomy was performed on 11 patients with papillary microcarcinoma.
  • The technique involved dissection through a modified facelift incision.
  • Critical structures including laryngeal nerves and parathyroid glands were identified and preserved.

Main Results:

  • All 11 endoscopic procedures were successful.
  • The facelift approach provided safe dissection and adequate working space.
  • Operative duration averaged 140 minutes; temporary earlobe sensory changes occurred in 3 patients, resolving within 2 months.
  • No laryngeal nerve palsy or voice changes were observed.

Conclusions:

  • The facelift approach offers a shorter, direct route to the thyroid with minimal dissection.
  • It provides an adequate workspace for both robotic and endoscopic thyroid surgery.
  • Further development and refinement of endoscopic facelift thyroid surgery techniques are warranted.