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Related Concept Videos

The Thyroid Gland01:23

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Related Experiment Video

Updated: Jun 22, 2025

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

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Vestibular approach for thyroid surgery: a comprehensive review.

Luigi La Via1, Antonio Zanghì2,3, Andrea Cavallaro4

  • 1Department of Anesthesia and Intensive Care, University Hospital Policlinico "G.Rodolico-San Marco", Catania, Italy.

Frontiers in Surgery
|July 1, 2024
PubMed
Summary

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers excellent cosmetic results and high patient satisfaction for thyroid surgery. Careful patient selection and surgical expertise are key to its successful and safe application.

Keywords:
endoscopicminimally invasiveneckthyroidectomytransoral

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Area of Science:

  • Minimally Invasive Surgery
  • Endocrine Surgery
  • Surgical Innovation

Background:

  • Traditional thyroidectomy often leaves visible neck scars.
  • The transoral endoscopic thyroidectomy vestibular approach (TOETVA) emerged as a scarless alternative.
  • Evaluating the current evidence on TOETVA is crucial for its clinical adoption.

Purpose of the Study:

  • To review the development, techniques, and outcomes of TOETVA.
  • To analyze anatomical challenges and patient selection criteria for TOETVA.
  • To compare TOETVA results with traditional thyroidectomy methods.

Main Methods:

  • Comprehensive literature review of PubMed, EMBASE, and Cochrane databases.
  • Search conducted for articles up to March 15, 2024.
  • Keywords included "vestibular approach" and "thyroidectomy".

Main Results:

  • TOETVA demonstrates favorable surgical duration, complication rates, and recovery times compared to conventional methods.
  • High patient satisfaction and superior cosmetic outcomes are key advantages of TOETVA.
  • Specific complications include infection, bleeding, and potential recurrent laryngeal nerve injury.

Conclusions:

  • TOETVA is a viable, scarless option for thyroidectomy with excellent cosmetic results.
  • Success hinges on meticulous preoperative planning, careful patient selection, and surgeon expertise.
  • Ongoing research is essential to further refine the TOETVA technique and expand its application.