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Updated: Feb 8, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Lessons Learned From a Faulty Transoral Endoscopic Thyroidectomy Vestibular Approach
Daqi Zhang1, Che-Wei Wu2,3, Davide Inversini4
1Division of Thyroid Surgery, Jilin Provincial Key Laboratory of Surgical Translational Medicine, China Japan Union Hospital of Jilin University, Changchun city, Jilin Province, China.
Background:
Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance.
Materials And Methods:
We described a case of faulty TOETVA.
Results:
The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia.
Conclusions:
The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO2 insufflation settings, the learning curve, and patient selection, were described and discussed.
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