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Review
. 2020 Jun 13;6(3):150-154.
doi: 10.1016/j.wjorl.2020.01.009. eCollection 2020 Sep.

The role of surgeon-performed ultrasound in transoral endoscopic thyroidectomy vestibular approach (TOETVA)

Christopher R Razavi  1 , Mohammad Shaear  1 , Angkoon Anuwong  2 , Jonathon O Russell  1
Affiliations
Review

The role of surgeon-performed ultrasound in transoral endoscopic thyroidectomy vestibular approach (TOETVA)

Christopher R Razavi et al. World J Otorhinolaryngol Head Neck Surg. .

Abstract

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a recently described surgical technique where the thyroid and central neck can be accessed without a cutaneous incision. To date nearly 700 cases have been described within the English literature demonstrating the feasibility, safety, and efficacy of the technique. As more institutions begin to adopt the surgical approach, it is important that surgeons pay close attention to appropriate patient selection and surgical optimization to prevent experience-related complications. A valuable tool to facilitate these considerations is the utilization of surgeon-performed ultrasonography (US). While the merits of surgeon-performed US are well-documented within head & neck endocrine surgery as a whole, its value may be of even greater importance when implementing a novel surgical technique such as TOETVA. Here we highlight and summarize the role of surgeon-performed US within head & neck endocrine surgery, focusing on how it may influence patient selection and surgical planning with TOETVA.

Keywords: Remote-access thyroidectomy; Surgeon-performed ultrasound; Transoral thyroidectomy.

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Conflict of interest statement

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1
Figure 1
Ultrasonographic evaluation of the neck demonstrating identification of the thyroid isthmus and documentation of its thickness for the purposes of TOETVA surgical planning.
Figure 2
Figure 2
Ultrasonographic demonstration of a solid right lower pole thyroid nodule with smooth borders that was benign on fine needle aspiration. This nodule was amenable to management with TOETVA.
See this image and copyright information in PMC

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