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Related Concept Videos

The Thyroid Gland01:23

The Thyroid Gland

The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...

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Related Experiment Video

Updated: Jul 2, 2026

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
05:12

Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy

Published on: May 12, 2023

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Remote Access Thyroid Surgery: When Does It Make Sense?

Marina E Robson Chase1, Gustavo Fernandez-Ranvier2, Hyunsuk Suh3

  • 1Department of Surgery, University of Kentucky, 800 Rose Street, MN 268, Lexington, KY 40536, USA.

Advances in Surgery
|August 6, 2025
PubMed
Summary
This summary is machine-generated.

Remote access thyroid surgery offers scarless options, matching conventional safety and cancer outcomes. These novel techniques provide better cosmetic results and quality of life for patients.

Keywords:
Bilateral axillo-breast approach (BABA)Endoscopic thyroidectomyRobotic thyroidectomyScarless thyroidectomyTransoral endoscopic thyroidectomy vestibular approach (TOETVA)

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Area of Science:

  • Endocrinology
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • Conventional thyroidectomy leaves a visible cervical scar.
  • Remote access thyroid surgery aims to eliminate this scar.
  • Key techniques include the bilateral axillo-breast approach and transoral endoscopic thyroidectomy vestibular approach.

Purpose of the Study:

  • To compare the safety, oncologic outcomes, cosmesis, and quality of life of remote access thyroid surgery with conventional thyroidectomy.

Main Methods:

  • Review of studies comparing remote access techniques (bilateral axillo-breast approach, transoral endoscopic thyroidectomy vestibular approach) with conventional thyroidectomy.
  • Analysis of safety, oncologic control, cosmetic results, and patient quality of life.

Main Results:

  • Remote access thyroid surgery demonstrates comparable safety and oncologic outcomes to conventional methods.
  • Superior cosmesis and improved quality of life were observed with remote access techniques.
  • Patient selection and surgeon expertise are critical factors for successful outcomes.

Conclusions:

  • Remote access thyroid surgery is a viable alternative to conventional thyroidectomy.
  • These scarless techniques offer significant advantages in terms of aesthetics and patient well-being.
  • Further adoption requires careful patient selection and specialized surgeon training.