Transoral endoscopic thyroidectomy vestibular approach (TOETVA): A novel surgical technique for scarless thyroidectomy in pediatric surgery

J Pediatr Surg. 2022 Jun;57(6):1149-1157. doi: 10.1016/j.jpedsurg.2022.01.038. Epub 2022 Feb 1.

Abstract

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel surgical technique in thyroid surgery that provides a feasible opportunity to avoid a visible neck scar. In recent years, TOETVA became popular in the thyroid surgery of selected adult patients with cosmetic concerns. We conducted a right lobectomy with the TOETVA technique in a 17-year-old adolescent with a suspicious thyroid nodule the present report aimed to describe the details of the operative technique step by step. Level of evidence: LEVEL IV, case series with no comparison group.

Keywords: Children; Scarless thyroidectomy; TOETVA; Thyroid nodule; Transoral endoscopic thyroidectomy vestibular approach; Transoral thyroidectomy.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Endoscopy
  • Humans
  • Natural Orifice Endoscopic Surgery* / methods
  • Neck
  • Thyroid Nodule* / surgery
  • Thyroidectomy / methods