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Review
. 2020 Apr;9(2):409-416.
doi: 10.21037/gs.2020.03.05.

Transoral thyroid and parathyroid surgery via the vestibular approach-a 2020 update

Jonathon O Russell  1 , Zeyad T Sahli  2 , Mohammad Shaear  1 , Christopher Razavi  1 , Khalid Ali  1 , Ralph P Tufano  1
Affiliations
Review

Transoral thyroid and parathyroid surgery via the vestibular approach-a 2020 update

Jonathon O Russell et al. Gland Surg. 2020 Apr.

Abstract

Transoral endoscopic thyroidectomy and parathyroidectomy via the vestibular approach (TOET/PVA or TOETVA-TOEPVA) is the latest remote-access technique employed in the central neck. As the only approach that does not leave any cutaneous incision, (TOET/PVA) has become popular in both the Far East and Western series since its original description in 2015. More than just a "scarless" surgery, (TOET/PVA) has been associated with a short learning curve, access to the bilateral central neck compartments, few surgical contraindications, minimal complications, and minimal additional instrumentation. To date, more than 2,000 cases have been completed, including more than 400 in North America, demonstrating brisk utilization of a novel technique relative to earlier remote access central neck approaches. Herein, we describe updates that continue to improve the safety and efficacy of the procedure.

Keywords: TOEPVA; TOETVA; Thyroidectomy; parathyroidectomy; remote-access thyroid surgery; scarless thyroid surgery; thyroid surgery; transoral thyroid surgery.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/gs.2020.03.05). Dr. Tufano reports personal fees from Medtronics, personal fees from Hemostatix, outside the submitted work. RTP serves as the unpaid editorial board member of Gland Surgery from Sep 2018 to Aug 2020. The other authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
A 31-year-old woman (A) and a 56-year-old man (B) 3 weeks after TOETVA.
See this image and copyright information in PMC

Comment in

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