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Updated: Jun 25, 2025
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
A comparative study of transcervical, endoscope-assisted transcervical, and endoscope-assisted transoral resection of
Diekuo Zhang1,2,3,4, Helei Yan1,2,3,4, Huihong Chen1,2,3,4
1Department of Otolaryngology - Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, China.
Background:
The aim of this retrospective study was to compare the efficacy of transcervical (TC), endoscope-assisted transoral (TO), and endoscope-assisted TC for resection of retrostyloid space schwannomas.
Methods:
The study included patients who underwent complete resection of schwannomas by only one surgical approach. The data we collected included tumor size, estimated blood loss, postoperative complications, and so on. Statistical analysis was performed using one-way analysis of variance and Fisher's exact test.
Results:
The study collected 85 patients with tumors mostly located at the oropharyngeal level who were followed up 6 months at least. The results showed that endoscope-assisted TO had certain advantages over others. Additionally, the endoscope-assisted TO set the lowest incidence of neurological complications.
Conclusion:
Our findings demonstrate that for team with rich experience in the skull base surgery, endoscope-assisted TO is a superior option compared to the other two groups for resection of retrostyloid space schwannomas, with the better preservation of neurological function.
