Transoral endoscopic thyroidectomy vestibular approach (TOETVA).

Area of Science:

• Endocrine Surgery
• Minimally Invasive Surgery
• Surgical Innovation

Background:

• Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) was developed in Asia to address sociocultural concerns about neck scarring.
• The technique was first reported by Angkoon Anuwong in August 2015.
• Neck scars are considered a stigma in some cultures, driving the need for scarless surgical options.

Purpose of the Study:

• To present a step-by-step guide for safely replicating the TOETVA procedure.
• To facilitate the spread of TOETVA within the endocrine surgery framework.
• To provide a detailed overview of this novel scarless thyroidectomy technique.

Main Methods:

• Detailed step-by-step description of the Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA).
• Focus on safe replication and standardization of the technique.
• Emphasis on endoscopic and transoral access through a natural orifice.

Main Results:

• The TOETVA technique allows thyroid access without visible neck scars.
• Preliminary results indicate feasibility and potential for replication.
• The approach is suitable for a specific subset of patients.

Conclusions:

• TOETVA represents a significant advancement in scarless thyroid surgery.
• The detailed approach aims to enable wider adoption and safe practice.
• Patient selection is crucial for successful outcomes with this technique.