Transoral endoscopic thyroidectomy vestibular approach (TOETVA)

Area of Science:

• Endocrine Surgery
• Minimally Invasive Surgical Techniques
• Head and Neck Surgery

Background:

• Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) was developed in Asia to avoid visible neck scars, addressing sociocultural stigma.
• Neck scarring is a significant concern in some cultures, driving innovation in surgical approaches.
• The technique was first reported in August 2015 by Angkoon Anuwong.

Purpose of the Study:

• To present a step-by-step guide for the safe replication of the TOETVA procedure.
• To facilitate the wider adoption of TOETVA within endocrine surgery.
• To detail the methodology of a scarless thyroidectomy technique.

Main Methods:

• Endoscopic thyroidectomy performed via an intraoral vestibular incision.
• Detailed procedural steps for safe surgical replication.
• Focus on a transoral, scarless approach to the thyroid gland.

Main Results:

• TOETVA enables thyroid access without external neck incisions.
• Preliminary results indicate the feasibility of the approach.
• The technique is suitable for a specific subset of patients requiring thyroid surgery.

Conclusions:

• TOETVA is a viable, scarless surgical option for select thyroidectomy patients.
• Standardized procedural steps can aid in the replication and dissemination of this technique.
• Further research and training are needed to expand its application in endocrine surgery.