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Updated: Nov 30, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
Transoral endoscopic parathyroidectomy vestibular approach: A systematic review
Payam Entezami1, Lindsay Boven1, Erin Ware2
1Department of Otolaryngology/Head & Neck Surgery, LSU Health Shreveport, Shreveport, LA 71103, United States of America.
Background:
Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) is a novel surgical approach that has gained increasing traction as a remote access approach for parathyroid surgery. The primary aim of this systematic review is to assess the feasibility and safety of this approach.
Methods:
Several databases were screened for relevant citations. The quality of studies and risk of bias were evaluated using the MINORS scoring system.
Results:
Nine articles containing 78 cases of TOEPVA met the inclusion criteria. Overall, there was a 96% success rate. There were three cases (3.8%) that had complications, including one case of transient recurrent laryngeal nerve palsy. The average MINORS score of the studies suggested a moderate amount of bias.
Conclusions:
Based on limited quality evidence, this review suggests that TOEPVA is safe and feasible, with reasonable success rates and low complication rates in a very carefully selected patient population. Further large-scale studies are warranted.
