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Updated: Jun 26, 2026
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
[Transoral-Endoscopic Vestibular Versus an Open Approach of Total Thyroidectomy in Pediatric Patients]
Alexandra Dorman1,2, Iris Yaish3, Nidal Muhanna1,2
1The Department of Otolaryngology, Head.
Background:
The Transoral endoscopic thyroidectomy vestibular approach (TOETVA) reportedly has a high safety profile in adults, but data on its application in children are limited.
Objectives:
To review a case series of pediatric patients who underwent total thyroidectomy by a scar-free TOETVA.
Methods:
The authors conducted a retrospective review of pediatric patients who underwent total thyroidectomy by TOETVA during 2022 at the Tel-Aviv Sourasky Medical Center. Data on clinical, pathological, and intraoperative parameters, postoperative sequelae, and complications were retrieved.
Results:
Four patients were included in the study, all females, with a median age 14 years. The median duration of the surgery was 239.5 minutes. There were no recorded surgery related complications. Two patients experienced transient hypocalcemia, while no patient sustained recurrent laryngeal nerve injury. The median hospitalization duration was 2.5 days.
Conclusions:
The results highlight a high safety profile of TOETVA, and support its applicability for thyroidectomy in children, while bearing significant social and psychological advantages that are especially relevant to young patients.
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