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Updated: Jan 24, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Endoscopic transoral parathyroidectomy: Initial experience.

Luis-Mauricio Hurtado-López1, Sandra-Haydee Gutiérrez-Román1, Erich Basurto-Kuba1

  • 1Thyroid Clinic, General Surgery Service, Hospital General de México, Mexico City, Mexico.

Head & Neck
|June 4, 2019
PubMed
Summary

Transoral vestibular approach parathyroidectomy (TOEPVA) offers a viable, scarless solution for primary hyperparathyroidism. This minimally invasive technique successfully treated 95.2% of patients, avoiding nerve damage.

Keywords:
adenomaendoscopichyperparathyroidismparathyroidsurgery

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Area of Science:

  • Endocrinology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Primary hyperparathyroidism is a common endocrine disorder.
  • Surgical intervention, parathyroidectomy, is the definitive treatment.
  • Cervical scarring is a common patient concern following traditional parathyroidectomy.

Purpose of the Study:

  • To evaluate the initial experience and safety of the transoral vestibular approach parathyroidectomy (TOEPVA).
  • To assess the efficacy of TOEPVA in treating primary hyperparathyroidism.
  • To determine the feasibility of TOEPVA in avoiding cervical scars.

Main Methods:

  • A prospective study was conducted on patients with single parathyroid adenoma.
  • TOEPVA was utilized for parathyroidectomy.
  • Key variables analyzed included adenoma characteristics (size, volume, location), operative outcomes (bleeding, recurrent laryngeal nerve identification/preservation, mental nerve injury), and cure rate.

Main Results:

  • The study included 21 women with an average age of 43 years.
  • Average adenoma size was 26.6 mm and volume was 3.95 mL.
  • A 95.2% cure rate was achieved, with no permanent recurrent laryngeal or mental nerve damage.

Conclusions:

  • TOEPVA is a viable and safe surgical option for primary hyperparathyroidism.
  • This approach effectively treats the condition while avoiding visible cervical scarring.
  • TOEPVA represents a promising alternative for patients seeking cosmetic benefits alongside curative treatment.