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Abstract
With development of minimal invasive surgery ambitions to improve cosmetic outcomes after thyroidectomy led to invention of Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA). This technique implies port placement through the vestibulum of the oral cavity into the subplatysmal space. Robotic endoscopic thyroidectomy can be performed either. In contrast to open surgery TOETVA is not done in case of large thyroid gland, sub- and decompensated thyrotoxic goiter, prominent chin, retrosternal goiter, previous neck surgery/radiation; there are some limitations depending on size and histological type of the node. The rate of complication does not differ from conventional surgery. Specific complication for TOETVA is mental nerve injury. Transoral endoscopic thyroidectomy vestibular approach is feasible and safe surgery with outstanding cosmetical and clinical results for selected patients. Further researches are required to assess TOETVA.
References
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