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Thyroid. 2018 Jul;28(7):825-829. doi: 10.1089/thy.2017.0642. Epub 2018 Jun 18.

Transoral Thyroid and Parathyroid Surgery Vestibular Approach: A Framework for Assessment and Safe Exploration.

Author information

1
1 Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins , Baltimore, Maryland.
2
2 Department of Surgery, Minimally Invasive Endocrine and Surgery Division, Police General Hospital , Bangkok, Thailand .
3
3 Department of Human Pathology in Adulthood and Childhood "G. Barresi," University of Messina , Messina, Italy .
4
4 Department of Surgery, Icahn School of Medicine at Mount Sinai , New York, New York.
5
5 Department of Surgery, Korea University College of Medicine , Seoul, Korea.
6
6 Massachusetts Eye and Ear Infirmary, Department of Otolaryngology, Harvard Medical School , Boston, Massachusetts.

Abstract

The transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a new approach to the central neck that avoids an anterior cervical incision. This approach can be performed with endoscopic or robotic assistance and offers access to the bilateral central neck. It has been completed safely in both North American and, even more extensively, international populations. With any new technology or approach, complications during the learning curve, expense, instrument limitations, and overall safety may affect its ultimate adoption and utility. To ensure patient safety, it is imperative to define steps that should be considered by any surgeon or group before adoption of this new approach.

KEYWORDS:

TOETVA; TORT; remote access; scarless thyroidectomy; thyroidectomy; transoral thyroidectomy

PMID:
29790432
DOI:
10.1089/thy.2017.0642

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