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

Transoral Endoscopic Thyroidectomy Vestibular Approach: A Single-institution Experience of the First 50 Cases

2020 ◽  
pp. 155335062092761
Author(s):  
Gustavo Fernandez-Ranvier ◽  
Aryan Meknat ◽  
Daniela Guevara ◽  
Aida Taye ◽  
Hyunsuk Suh ◽  
...  
Keyword(s):  
Total Thyroidectomy ◽  
Endoscopic Thyroidectomy ◽  
High Volume ◽  
Single Institution ◽  
Surgical Time ◽  
Lower Lip ◽  
Thyroid Lobectomy ◽  
The Mean ◽  
Vestibular Approach

Background. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) has evolved from a novel procedure to a cosmetically appealing alternative to the traditional open thyroidectomy. TOETVA is limited to only high-volume centers with the hope to expand and demonstrate the safety, reproducibility, and application for the correct patient with thyroid disease. We present our experience with the first 50 TOETVA procedures performed at our institution. Methods. From September 2016 to June 2018, we performed 50 transoral endoscopic thyroidectomies via the vestibular approach for a variety of thyroid pathologies. Outcomes were analyzed from a prospectively maintained database. Patients were treated for a different range of thyroid pathologies. Results. A total of 12 (24%) patients underwent total thyroidectomy, whereas 38 (76%) patients underwent a subtotal thyroidectomy or thyroid lobectomy. The mean surgical time was 149 ± 40.0 (90-256) minutes for lobectomy and 217.6 ± 33.3 (175-276) minutes for total thyroidectomy. Of our 50 patients, 16 (32%) had postoperative transient lower lip numbness with an average time to recovery of 23.8 (.43-48) weeks, with 1 (2%) patient having persistent, but improving, lower lip numbness beyond the 6-month follow-up. There were 13 (26%) patients with transient chin numbness with an average time to recovery of 15.7 (2-48) weeks. Two (4%) patients had transient recurrent laryngeal nerve (RLN) injury with hoarseness, whereas 1 (2%) patient had permanent injury. Conclusion. The TOETVA is a safe and reproducible procedure. For selected patients, this technique is a viable alternative to conventional thyroidectomy.

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

Complete Endoscopic Thyroidectomy via Oral Vestibular Approach Versus Areola Approach for Treatment of Thyroid Diseases

2015 ◽  
Vol 25 (6) ◽  
pp. 470-476 ◽  
Author(s):  
Jingge Yang ◽  
Cunchuan Wang ◽  
Jinyi Li ◽  
Wah Yang ◽  
Guo Cao ◽  
...  
Keyword(s):  
Endoscopic Thyroidectomy ◽  
Thyroid Diseases ◽  
Areola Approach ◽  
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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