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Updated: Jun 30, 2026
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
Endoscope-assisted transoral removal of benign midline cervical neoplasms: A preliminary study
Yilin Peng1, Yanran Shi2, Xiangyu Zhou3
1Department of Oral and Maxillofacial Surgery, Qilu Hospital of Shandong University, No. 107 Wenhua Road West, Jinan, Shandong, 250012, China.
Background:
Benign midline cervical tumors, such as thyroglossal duct cysts (TDCs) and dermoid cysts, are typically removed via cervical incisions, often resulting in noticeable scars. This study evaluates the feasibility, safety, and outcomes of endoscope-assisted transoral resection with concealed incisions.
Methods:
A retrospective analysis was performed on 24 patients who underwent endoscopic transoral excision at Qilu Hospital (2018-2024). Preoperative MRI or CT was performed to assess tumor characteristics. Incisions were made in the oral vestibule or floor of the mouth mucosa, tailored to tumor location.
Results:
All procedures were successfully completed endoscopically. Five patients experienced transient lower lip numbness; one patient with a thyroglossal duct fistula developed a seroma and infection, which resolved with drainage. At 3 months postoperatively, no oral dysfunction was observed. The mean Visual Analog Scale (VAS) score for cosmetic satisfaction was 9.1 ± 0.8, indicating high patient satisfaction. No recurrences were observed during follow-up.
Conclusions:
Transoral endoscopic resection is a feasible alternative that avoids externally visible scars for selected patients with benign midline cervical neoplasms, achieving satisfactory cosmetic and functional outcomes with no compromise to safety.
