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Updated: Apr 14, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Endoscopic retroauricular thyroidectomy: preliminary results.

Hyung Kwon Byeon1, F Christopher Holsinger2, Ralph P Tufano3

  • 1Department of Otorhinolaryngology, Severance Hospital, Yonsei University Health System, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul, 120-752, Republic of Korea.

Surgical Endoscopy
|April 16, 2015
PubMed
Summary

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Endoscopic thyroidectomy using the retroauricular approach is a safe and feasible surgical option. Patients reported high satisfaction with the cosmetic outcomes, showing minimal scarring after the procedure.

Area of Science:

  • Minimally Invasive Surgery
  • Endocrine Surgery
  • Surgical Oncology

Background:

  • Assessing the role of endoscopic thyroidectomy via the retroauricular (RA) approach.
  • Laying groundwork for future comparative studies with robotic RA thyroidectomy.

Purpose of the Study:

  • To verify the surgical feasibility of endoscopic RA thyroidectomy.
  • To evaluate safety and cosmetic outcomes of this minimally invasive technique.

Main Methods:

  • Retrospective review of 18 patients undergoing endoscopic RA thyroidectomy.
  • Procedures performed between January and December 2013 for suspicious papillary thyroid carcinoma or benign lesions.

Main Results:

  • Successful completion of all endoscopic thyroidectomies via RA or modified facelift approach.
Keywords:
Endoscopic thyroidectomyMinimally invasive surgeryModified facelift approachRemote accessRetroauricular approach

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  • No significant intraoperative complications or need for conversion to open surgery.
  • High patient satisfaction with postoperative surgical scars.

    • Conclusions:

    • Endoscopic RA thyroidectomy is technically feasible and safe.
    • Satisfactory cosmetic results are achievable for indicated patients.
    • This approach offers a viable minimally invasive option for thyroid surgery.