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Related Concept Videos

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Related Experiment Video

Updated: Mar 3, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Transoral thyroidectomy: advantages and limitations.

G Dionigi1, R P Tufano2, J Russell2

  • 11st Division of General Surgery, Department of Surgical Sciences and Human Morphology, Research Center for Endocrine Surgery, University of Insubria (Varese-Como), via Guicciardini, 9, 21100, Varese, Italy.

Journal of Endocrinological Investigation
|April 23, 2017
PubMed
Summary
This summary is machine-generated.

Transoral thyroidectomy (TOT) offers a scarless surgical approach for specific thyroid conditions. This novel endoscopic technique, performed via the mouth, avoids visible neck incisions, enhancing patient cosmetic outcomes.

Keywords:
Mini-invasive thyroidectomyThyroidThyroidectomyTransoral thyroidectomy

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Area of Science:

  • Endocrinology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Traditional thyroid surgery often leaves visible scars.
  • There is a growing demand for cosmetic improvements in surgical procedures.
  • Endoscopic techniques are increasingly explored for various surgical specialties.

Purpose of the Study:

  • To report on the clinical experience with transoral thyroidectomy (TOT).
  • To highlight TOT as a novel, scarless surgical approach for thyroid gland procedures.
  • To establish standards for practicing this emerging technique.

Main Methods:

  • TOT is performed using a three-port endoscopic technique through the oral vestibule.
  • Conventional endoscopic instruments are utilized for dissection and coagulation.
  • Specific patient criteria include thyroid size, nodule characteristics, and Bethesda classification.

Main Results:

  • Transoral thyroidectomy is a feasible and novel surgical procedure.
  • The technique results in a truly scarless surgery, with no visible cutaneous incisions.
  • The intra-oral approach offers a short distance to the thyroid, facilitating the procedure.

Conclusions:

  • Transoral thyroidectomy is a promising scarless surgical option for selected thyroid conditions.
  • The development of practice standards is crucial for the widespread adoption of TOT.
  • This technique represents a significant advancement in thyroid surgery, prioritizing aesthetic outcomes.