Transoral endoscopic thyroidectomy: vestibular approach
Epublication WebSurg.com, Apr 2017;17(04). URL: http://websurg.com/doi/lt03enanuwong001
In this state-of-the-art lecture, Dr. Anuwong briefly describes the historical developments of thyroidectomy with various approaches, emphasizing natural orifice thyroid surgery with an overview of the first report in animal models, cadaveric models, and human patients in different countries as it happened over time. He describes the key steps, main principles, and complications of TOVANS, ETOA, and TOPOT with their drawbacks. He also introduces his technique of transoral endoscopic thyroidectomy: vestibular approach (TOETVA) with the brief concept of mental nerve injury. He demonstrates his experience in a case report of right lobectomy using TOETVA with postoperative management and impressive results achieved with no infection and no scar. The TOETVA technique proves to be promising as it is safe, feasible, comparable to other approaches, and has excellent cosmetic results.