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A comparison between transoral endoscopic thyroidectomy vestibular approach and transareolar thyroidectomy regarding postoperative pain and cosmetic outcomes: A systematic review and meta-analysis.
Pak J Med Sci
December 2024
Ibrahim Altedlawi Albalawi, Professor of Surgical Oncology, Department of Surgery, Faculty of Medicine, University of Tabuk, Tabuk, Saudi Arabia.
Article Synopsis
- The study compares two remote scarless thyroid surgery approaches: the transoral vestibular approach and the transareolar approach, focusing on cosmetic outcomes and postoperative pain in patients with papillary microcarcinoma.
- A thorough meta-analysis was conducted by reviewing multiple medical databases, yielding 10 relevant studies from an initial pool of 389, leading to significant findings about the procedures.
- Results indicate that the transoral approach provides better cosmetic results without significant differences in pain levels or outcomes related to central lymph node dissection, emphasizing the need for more extensive research.
Natural Orifice Trans-oral, Trans-vestibular Endoscopic Thyroidectomy (NO-TOTVET): a Case Series.
Indian J Surg Oncol
December 2024
Command Hospital (Eastern Command), Kolkata, India.
Article Synopsis
- * A study presented 11 patients who underwent NO-TOTVET for goiter at a hospital in Kolkata between November 2022 and July 2023, showcasing successful operations performed through small oral ports without converting to open surgery.
- * The average age of patients was 37.5 years, with surgeries taking about 139 minutes and requiring only 1.5 days of hospital stay; minor complications included two cases of seroma and one case of transient nerve
Purpose: To develop and validate a trans oral endoscopic thyroidectomy vestibular approach (TOETVA) simulator.
Methods: The first phase of the project consisted of designing and developing a transoral thyroid surgery simulator based on real surgeries. The product has the oral cavity for attaching the three trocars and the cervical part containing the thyroid and adjacent structures.
Natural orifice trans-oral, trans-vestibular endoscopic thyroidectomy: Surgical steps and technique.
J Minim Access Surg
January 2025
Oral and Maxillofacial Surgeon, 1202 Dental Unit, Simtokha, Bhutan.
Article Synopsis
- Natural orifice scarless cosmetic surgeries, made possible by advanced laparoscopic techniques, are gaining popularity, especially in thyroid procedures.
- The trans-oral trans-vestibular endoscopic thyroidectomy (NO-TOTVET) method stands out for its excellent cosmetic results, shorter hospital stays, and fewer complications compared to other approaches.
- This case report introduces and details the NO-TOTVET technique, enriching the surgical methods available to surgeons.
A Prospective Comparative Analysis to Study the Impact on Voice Changes Following Endoscopic Thyroidectomy.
Surg Laparosc Endosc Percutan Tech
August 2024
Department of Otorhinolaryngology, All India Institute of Medical Sciences, New Delhi, India.
Background: Endoscopic approach has come up as a safe and feasible procedure for thyroidectomy with better cosmetic outcomes. However, concerns over its safety in terms of nerve injury and postoperative voice changes remain. This prospective study evaluated the role of vocal cord function assessment using laryngeal examination and voice analysis in patients who underwent endoscopic hemithyroidectomy either by the trans-oral endoscopic thyroidectomy vestibular approach (TOETVA) or the bilateral axillobreast approach (BABA).
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