Evaluation Criteria and Surgical Technique for Transoral Access to the Thyroid Gland: Experimental Study

Shulutko, A M; Semikov, Vasiliy I.; Osmanov, E. G.; Gryaznov, S. E.; Горбачева, А. В.; Patalova, A R; Mansurova, Gaukhar T.; Kazaryan, Airazat M.

doi:10.1080/08941939.2018.1424271

Cited by 10 publications

(2 citation statements)

References 20 publications

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“…When reaching twenty cases in learning curve, operative time should decrease (55,63). When the mandible has a long and narrow basal arch operation time is prolonged compared to that in cases with a short and wide arch (65). Port placement and flap dissection to create working space are time consuming especially if the surgeon is not familiar with endoscopic instruments and techniques.…”

Section: Operative Time and Hospital Staymentioning

confidence: 99%

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

Akritidou¹,

Douridas²,

Spartalis

et al. 2021

In Vivo

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This review focuses on complications linked to trans-oral endoscopic thyroidectomy via vestibular approach (TOETVA) and aimed to elucidate the procedure's initial safety profile. According to the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), Pubmed, Embase, and the Cochrane databases were screened till May 2021. Twenty-eight articles, nine cohorts and nineteen case series, met the inclusion criteria. Procedure-related complications were analyzed, the most important being hypoparathyroidism: transient (range=0.94-22.2%), permanent (range=1.33-2.22%), and recurrent laryngeal nerve injury: transient (range=1.9-8.8%) and permanent (range=0.59-1.42%). Surgical trauma related complications, the most prevalent being seroma, emphysema, and hematoma accounted for 2.91%. Null mortality was reported. Although current evolving experience indicates that TOETVA is safe and linked to acceptable complication rates, the method needs to be compared with the gold standard of traditional thyroidectomy in the context of sufficiently numbered cohorts and ultimately randomized controlled trials.

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Section: Operative Time and Hospital Staymentioning

confidence: 99%

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

Akritidou¹,

Douridas²,

Spartalis

et al. 2021

In Vivo

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“…Minimally invasive remote-access thyroid surgeries have been increasing trend in the management of thyroid diseases. Transoral vestibular approach is ideal as it is scarless with minimal tissue dissection [1][2][3][4][5][6]. If this approach can be applied to thyroid notch chondrolaryngoplasty and Sistrunk operations, then a wider spectrum of patients can benefit from this transoral vestibular approach.…”

Section: Introductionmentioning

confidence: 99%

Cadaver Study on Transoral Thyroid Chondrolaryngoplasty and Transoral Sistrunk Operation, Possibility from Transoral Thyroidectomy

Li¹,

Chan²,

Tong³

2023

World j. surg.

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Objective Transoral approaches in surgery are gaining global popularity. Transoral endoscopic and robotic thyroidectomies are well established due to the benefit of being truly scarless. Thyroid chondrolaryngoplasty reduces protrusion of the thyroid notch in transgender patients. The Sistrunk operation involves removal of the thyroglossal cyst and the central portion of the hyoid bone. In this cadaveric study, we developed a transoral thyroidectomy approach and assessed the feasibility of applying this technique to thyroid chondrolaryngoplasty and Sistrunk operation with the proper usage of a special endoscopic burr. Methods We performed surgery using the transoral vestibular approach with 13 fresh-frozen human cadavers. Unlike transoral thyroid surgery, which requires high-resolution detailed anatomical view, this technique uses a 5-mm 30-degree endoscope with a 5-mm central port. A smaller central port can reduce the risk of mental nerve paresthesia. A special endoscopic burr for functional endoscopic sinus surgery is used to thin the thyroid notch cartilage and cut the central portion of the hyoid bone. Results We successfully performed transoral thyroid chondrolaryngoplasty and transoral Sistrunk operation in 13 cadavers. Conclusion Transoral chondrolaryngoplasty and transoral Sistrunk operation are feasible for transgender or thyroglossal cyst patients. It offers the additional benefit of being a scarless surgery and could play a promising role in minimally invasive thyroid surgeries. Proper use of an endoscopic drilling burr to thin thyroid notch cartilage and cutting the central portion of the hyoid bone can make transoral thyroid chondrolaryngoplasty and transoral Sistrunk operation safe and feasible.

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Classifying pain in transoral endoscopic thyroidectomy

Zhang

Caruso

Sun

et al. 2019

J Endocrinol Invest

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Evaluation Criteria and Surgical Technique for Transoral Access to the Thyroid Gland: Experimental Study

Abstract: The achieved results show feasibility of introducing the described modification of transoral thyroidectomy into clinical practice.

Cited by 10 publications

References 20 publications

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

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

Cadaver Study on Transoral Thyroid Chondrolaryngoplasty and Transoral Sistrunk Operation, Possibility from Transoral Thyroidectomy

Classifying pain in transoral endoscopic thyroidectomy

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