scholarly journals Complications of Trans-oral Endoscopic Thyroidectomy Vestibular Approach: A Systematic Review

In Vivo ◽  
2021 ◽  
Vol 36 (1) ◽  
pp. 1-12
Author(s):  
ELLADA AKRITIDOU ◽  
GERASIMOS DOURIDAS ◽  
ELEFTHERIOS SPARTALIS ◽  
GERASIMOS TSOUROUFLIS ◽  
DIMITRIOS DIMITROULIS ◽  
...  
Keyword(s):  
Systematic Review ◽  
Endoscopic Thyroidectomy ◽  
Vestibular Approach

scholarly journals Complications of transoral endoscopic thyroidectomy vestibular approach (TOETVA)

2021 ◽  
Vol 48 ◽  
Author(s):  
GILBERTO MENDES MENDERICO JR ◽  
ABRAHÃO LOTHAR WEISSENBERG ◽  
CLARA MARINHO BORBA ◽  
GIOVANNA MORALES SALLANI ◽  
JANAÍNA DE OLIVEIRA POY
Keyword(s):  
Systematic Review ◽  
Endoscopic Thyroidectomy ◽  
Neck Surgery ◽  
Recurrent Laryngeal Nerve Injury ◽  
Cochrane Library ◽  
Safe Procedure ◽  
Cervical Incision ◽  
The Aesthetic ◽  
Vestibular Approach ◽  
Favorable Conditions

ABSTRACT The thyroidectomy is the most frequently executed procedure in head and neck surgery. Since its first description by Kocher, the transverse cervical incision has been the main access to the thyroid site, as it provides broad exposure of the central neck compartment. Despite the meticulous suture of the incision, the development of a scar with variable dimensions is unavoidable and, hence, some patients might not agree to the approach, due to this consequence. The transoral endoscopic thyroidectomy vestibular access (TOETVA) gains importance as an alternative to the traditional surgery, since it avoids the formation of visible scars. The objective of this study is to develop a systematic review on the currently available literature to evaluate possible complications related to the TOETVA. The systematic review was based on the databases of Medline, Cochrane library, Embase and Scielo/Lilacs, resulting in the selection of six studies, which were compared in regard of the type of study duration of the study and identified complications. Our study showed that TOETVA is related to complications similar to the ones identified in the conventional approach, such as hematoma, seroma, recurrent laryngeal nerve injury, hypoparathyroidism, surgical site infection. The TOETVA was associated to a higher risk of thermic injury of the skin and mentual nerve paresthesia. Moreover, it was possible to conclude that TOETVA is a safe procedure for well selected patients, with favorable conditions and concerned about the aesthetic outcome. The risk of complications of the procedure should always be explained to those patients.

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
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