Many alternative approaches to the conventional open thyroid gland surgery have been developed, which are more likely to occur in women. One of these approaches is the “transoral endoscopic thyroidectomy with vestibular approach (TOETVA).” This remote-access procedure facilitates thyroid resection via small incisions on the inside of the lower lip, without a cutaneous scar (Fig. 15.1). Also called as “scarless” or “hidden-scar” thyroidectomy, this procedure is a suitable surgical option with proven safety and feasibility for a carefully selected patient population [1].
Intraoperative Neuromonitoring of the RLNs During TOETVA Procedures / Ö. Makay, S. Celik, G. Dionigi, F. Frattini, A. Pino - In: Atlas of Intraoperative Cranial Nerve Monitoring in Thyroid and Head and Neck Surgery / [a cura di] A.L. Shifrin, A.D. Deutsch, G.W. Randolph. - [s.l] : Springer Nature, 2023. - ISBN 978-3-031-24612-8. - pp. 89-103 [10.1007/978-3-031-24613-5_15]
Intraoperative Neuromonitoring of the RLNs During TOETVA Procedures
G. Dionigi;
2023
Abstract
Many alternative approaches to the conventional open thyroid gland surgery have been developed, which are more likely to occur in women. One of these approaches is the “transoral endoscopic thyroidectomy with vestibular approach (TOETVA).” This remote-access procedure facilitates thyroid resection via small incisions on the inside of the lower lip, without a cutaneous scar (Fig. 15.1). Also called as “scarless” or “hidden-scar” thyroidectomy, this procedure is a suitable surgical option with proven safety and feasibility for a carefully selected patient population [1].
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