Sensory change in the chin and neck after transoral thyroidectomy: Prospective study of mental nerve injury

Head & Neck ◽  
2020 ◽  
Vol 42 (11) ◽  
pp. 3111-3117
Author(s):  
Kyung Tae ◽  
Dong Won Lee ◽  
Hyang Sook Bang ◽  
You Hern Ahn ◽  
Jung Hwan Park ◽  
...  

2019 ◽  
Vol 44 (2) ◽  
pp. 371-377 ◽  
Author(s):  
Yi-Ting Yeh ◽  
Jui-Yu Chen ◽  
Po-Chung Kuo ◽  
Tien-Hsiang Wang ◽  
Hsin-Chen Lee ◽  
...  


Author(s):  
Kyung Tae

Transoral thyroidectomy via the vestibular approach has become popular worldwide. It offers the following advantages: less surgical morbidity, excellent postoperative cosmesis, and superior functional voice outcomes. Several studies have reported surgical outcomes of the transoral approach as comparable to those of the conventional transcervical approach in selected patients. However, unusual complications, such as CO2 embolism, mental nerve injury, surgical space infection, skin perforation, burns, and trauma have been noted in transoral thyroidectomy. This paper aims to review and update these complications and their management. Routine intraoperative neural monitoring is required to avoid laryngeal nerve palsy in the transoral approach. To prevent CO2 embolism, surgeons need to be careful not to injure the anterior jugular vein, and the CO2 insufflation pressure should be set as low as 4–6 mmHg. To avoid mental nerve injury, vestibular incisions should be placed in the safety zone, and dissection of the vestibular area and chin should be minimized. In conclusion, recognizing the possibility of complications and understanding their prevention and management are important for patient safety and the success of the transoral approach.



2005 ◽  
Vol 30 (6) ◽  
pp. 654-658 ◽  
Author(s):  
J.J. Wood ◽  
H. Chant ◽  
M. Laugharne ◽  
T. Chant ◽  
D.C. Mitchell


2019 ◽  
Vol 99 ◽  
pp. 66-72 ◽  
Author(s):  
Isaac O. Pérez-Martínez ◽  
Casandra R. Acevedo-Roque ◽  
Claudia D. Montes-Angeles ◽  
Mariana Martínez ◽  
Florencio Miranda


2015 ◽  
Vol 40 (9) ◽  
pp. e3 ◽  
Author(s):  
Justin J. Ernat ◽  
Anthony I. Riccio ◽  
Robert L. Wimberly ◽  
Christine A. Ho ◽  
David A. Podeszwa


2008 ◽  
Vol 34 (10) ◽  
pp. 1333-1339 ◽  
Author(s):  
HANS C. FLU ◽  
PAUL J. BRESLAU ◽  
JAAP F. HAMMING ◽  
JAN WILLEM LARDENOYE


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