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Category: Volume 07 Issue 08 August 2019
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Title: Transoral Endoscopic Thyroidectomy: A Case Series of 18 Cases

Authors: Padmasen Vishnu Ranbagle, Vivek Kumar Singh, Gaurish Borkar, Atul Kale, Puneet S

 DOI: https://dx.doi.org/10.18535/jmscr/v7i8.64

Abstract

Introduction

Thyroid surgeries have evolved over time from late 19th century where patient safety and mortality was a concern to the present age, where various minimally invasive and scarless surgeries are evolving.

Most of the endoscopic thyroid surgeries are based on the principle of hiding the scar within neck creases or just shifting the neck scar to axilla, areola of chest of the patient.

Vestibular approach to thyroid is truly a NOTES surgery which absolutely leaves no scar and addresses the issue of manoeuvrability faced during sublingual transoral approach.

Our novel study is an attempt to access thyroid gland via oral vestibule to achieve a scar free thyroidectomy.

References

  1. Wilhelm T, Metzig A (2010) Endoscopic minimally invasive thyroidectomy: first clinical experience. SurgEndosc 24:1757–1758
  2. Nakajo A, Arima H, Hirata M et al (2013) Trans-oral videoassisted neck surgery (TOVANS). A new transoral technique of endoscopic thyroidectomy with gasless premandible approach. Surg Endosc 27:1105–1110.
  3. Anuwong A, Ketwong K, Jitpratoom P, Sasanakietkul T, Duh QY (2018) Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach. JAMA Surg 153(1):21–27.
  4. Vishwanath M. Pai, ⁎. P. (2015). Transoral endoscopic thyroidectomy: A case report. IJS case report, 99-101.
  5. Sivakumar T, Amizhthu R A ,Year : 2018 | Transoral endoscopic total thyroidectomy vestibular approach: A case series and literature review, Volume:  14 | Issue Number:  2 | Page: 118-123
  6. Wang Y, Zhang Z, Zhao Q, Xie Q, Yan H, Yu X, Xiang C, Zhang M, Wang P (2018) Transoral endoscopic thyroid surgery via the tri-vestibular approach with a hybrid space-maintaining method: a preliminary report. Head neck.
  7. Beausang E, Floyd H, Dunn KW, et al. A new quantitative scale for clinical scar assessment. Plast Reconstr Surg. 1998; 102:1954–61.

Corresponding Author

Vivek Kumar Singh

Department of General Surgery,

Byramjee Jeejeebhoy Government Medical College, Pune, Maharashtra, Pin 41101