Gasless and Nonsuspensional Transoral Endoscopic Thyroidectomy Through a Vestibular Approach

2021 ◽  
Vol 8 (4) ◽  
Author(s):  
Qunzi Zhao ◽  
Yong Wang
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Vestibular Approach

A Single Surgeon’s 10-Year Experience in Remote-Access Thyroid and Parathyroid Surgery

2020 ◽  
pp. 000313482095030
Author(s):  
Emad Kandil ◽  
Mounika Akkera ◽  
Hosam Shalaby ◽  
Ruhul Munshi ◽  
Abdallah Attia ◽  
...  
Keyword(s):  
Learning Curve ◽  
Evoked Potential ◽  
Operative Time ◽  
Endoscopic Thyroidectomy ◽  
Remote Access ◽  
Parathyroid Surgery ◽  
American Institute ◽  
Effective Learning ◽  
Select Group ◽  
Vestibular Approach

Background Remote-access thyroid and parathyroid surgery has gained popularity recently due to its benefit of avoiding visible neck scars. Most of these techniques were described and performed in Asia, on patients with different body habitus compared to American patients. We aim to analyze the learning curve in performing these operations in North America.  Methods This is a retrospective cohort study of a 10-year experience by a single surgeon at a North American institute. Patients who underwent thyroid or parathyroid procedures by a transaxillary, retroauricular, or transoral endoscopic thyroidectomy vestibular approach (TOETVA) were included. Cumulative sum (CUSUM) was used to analyze learning curves based on intraoperative blood loss and total operative times and learning phases were divided accordingly. Results Three hundred seventy-two remote-access thyroid and parathyroid procedures were performed during the study period. Total operative time for transaxillary procedures was initially reduced after the 69th procedure and then again after the 134th case. For retroauricular procedures, marked reduction in the operative time was observed after 21 procedures. Most patients (57.02%) were discharged home on the same day during the mastering phase. In the transaxillary procedures, only 1 case of brachial plexus injury occurred prior to the routine use of somatosensory evoked potential (SSEP) monitoring. Discussion Remote-access thyroid and parathyroid surgeries can be performed safely with minimal complications in a select group of patients. Analysis of the learning curve in performing these operations aids in structuring a safe and effective learning period for endocrine surgeons seeking to venture into this modality of treatment.

A predictive model of operative time in transoral endoscopic thyroidectomy vestibular approach

Head & Neck ◽  
2020 ◽  
Author(s):  
Ved A. Tanavde ◽  
Christopher R. Razavi ◽  
Lena W. Chen ◽  
Rohit Ranganath ◽  
Ralph P. Tufano ◽  
...  
Keyword(s):  
Predictive Model ◽  
Operative Time ◽  
Endoscopic Thyroidectomy ◽  
Vestibular Approach

The sensorimotor changes of the lower lip and chin after transoral endoscopic thyroidectomy vestibular approach

2021 ◽  
Author(s):  
Guibin Zheng ◽  
Xiaojie Wang ◽  
Guochang Wu ◽  
Haiqing Sun ◽  
Chi Ma ◽  
...  
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Lower Lip ◽  
Vestibular Approach

scholarly journals Response to the letter: Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Pioneers's Point of View

2021 ◽  
Vol 65 (6) ◽  
pp. 860-861
Author(s):  
Alfio Tincani ◽  
Carlos Lehn ◽  
Cláudio Cernea ◽  
Emilson Queiroz ◽  
Fernando Dias ◽  
...  
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Point Of View ◽  
Vestibular Approach

scholarly journals Transoral Endoscopic Thyroidectomy Vestibular Approach

2019 ◽  
Vol 23 (4) ◽  
pp. e2019.00036 ◽  
Author(s):  
Gustavo Fernandez-Ranvier ◽  
Aryan Meknat ◽  
Daniela E. Guevara ◽  
William B. Inabnet
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Vestibular Approach

Transoral endoscopic thyroidectomy vestibular approach (TOETVA): indications, techniques and results

2017 ◽  
Vol 32 (1) ◽  
pp. 456-465 ◽  
Author(s):  
Angkoon Anuwong ◽  
Thanyawat Sasanakietkul ◽  
Pornpeera Jitpratoom ◽  
Khwannara Ketwong ◽  
Hoon Yub Kim ◽  
...  
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Vestibular Approach
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