Related Experiment Video
Updated: Dec 17, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Minimally Invasive Approaches for Thyroid Surgery-Pitfalls and Promises
Irit Duek1, Ori S Duek2, Dan M Fliss3
1Department of Otolaryngology Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University, 6 Weizman Street, 6423906, Tel Aviv, Israel. Iritduek1@gmail.com.
Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) offers a minimally invasive option for thyroid surgery, avoiding skin incisions. While safe and feasible for select patients, further research is needed to confirm its long-term benefits beyond cosmetic improvements.
Area of Science:
- Endocrinology
- Surgical Innovation
- Minimally Invasive Surgery
Background:
- Remote-access thyroid surgery aims to improve cosmesis but lacks widespread adoption.
- Traditional thyroidectomy approaches can result in visible scarring.
Purpose of the Study:
- To review the feasibility and safety of minimally invasive remote-access thyroid surgery.
- To evaluate emerging techniques in thyroid pathology management.
Main Methods:
- Review of current remote-access thyroid surgery techniques.
- Analysis of the transoral endoscopic thyroidectomy via vestibular approach (TOETVA).
Main Results:
- TOETVA is a true minimally invasive approach, avoiding skin incisions.
- TOETVA demonstrates a short learning curve, good surgical view, and accessible equipment.
- Promising outcomes reported for TOETVA in carefully selected patients, proving its safety and feasibility.
Conclusions:
- TOETVA represents a significant advancement in minimally invasive thyroid surgery.
- Further long-term studies are required to establish the full value of TOETVA beyond cosmetic enhancement.
