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Articles linked to this work by shared authors, journal, and citation graph.

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Trans oral endoscopic thyroidectomy (TOETVA): First French experience in 90 patients.

Journal of visceral surgery·2021
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[Transoral thyroid and parathyroid surgery : Implementation and evaluation of the transoral endoscopic technique via the vestibular approach (TOETVA)].

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Related Experiment Video

Updated: Jan 23, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Classifying pain in transoral endoscopic thyroidectomy.

D Zhang1, E Caruso2, H Sun1

  • 1Division of thyroid Surgery, China-Japan Union Hospital Of Jilin University, Jilin Provincial Key Laboratory Of Surgical Translational Medicine, Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma, 126 Xiantai Blvd, Changchun, Jilin, P.R. China.

Journal of Endocrinological Investigation
|June 13, 2019
PubMed
Summary
This summary is machine-generated.

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) shows varied pain profiles compared to open thyroidectomy. While TOETVA reduces neck and swallowing pain, it may increase jaw and brushing discomfort, with minimal overall clinical difference.

Keywords:
AnalgesiaPostoperative pain managementTOETVAThyroid surgeryVAS

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Pain Management

Background:

  • Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a minimally invasive technique for thyroid surgery.
  • Assessing postoperative pain using the visual analog scale (VAS) is crucial for patient outcomes.
  • Limited data exists on VAS pain assessment specifically for TOETVA compared to traditional open thyroidectomy.

Purpose of the Study:

  • To compare postoperative pain scores between patients undergoing TOETVA and open thyroidectomy (OTA).
  • To analyze pain perception at various anatomical sites and functional activities after both surgical approaches.

Main Methods:

  • An observational clinical study included 41 TOETVA and 45 OTA patients.
  • Visual analog scale (VAS) pain scores were recorded at multiple time points post-surgery (24 hours to 6 months).
  • Pain was assessed for specific areas (e.g., neck, jaw) and activities (e.g., swallowing, brushing teeth).

Main Results:

  • TOETVA was associated with significantly lower VAS scores for neck, cervical back, and swallowing pain at 24 hours post-surgery.
  • Patients undergoing TOETVA reported higher VAS scores for jaw and brushing teeth pain.
  • No significant difference was observed in the need for rescue analgesics between the TOETVA and OTA groups.

Conclusions:

  • VAS pain assessment reveals distinct short- and long-term pain experiences between TOETVA and OTA.
  • While TOETVA offers benefits in certain pain aspects, overall clinical differences in pain perception were minimal.
  • Further research may clarify the long-term implications of these pain differences.