ArticleSurgical endoscopy2008
Transoral access for endoscopic thyroid resection.
Article in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03158961 (A Prospective Evaluation of the Feasibility and Safety of the Transoral Endoscopic Thyroidectomy Vestibular Approach), which is not on this map. Cited by 129 papers, 7 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
A Prospective Evaluation of the Feasibility and Safety of the Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) as a Treatment for Benign Thyroid Nodules
Who cites it
129 citing papers in PubMed, 7 syntheses or guidelines pooled it, 299 citations in OpenAlex.
- Perioperative outcomes of transoral endoscopic vs. robotic thyroidectomy: a systematic review and meta-analysis.Journal of robotic surgery · 2026Pooled it
- [Progress in the application of robotic technology in thyroid surgery].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2025Pooled it
- Transoral thyroidectomy vestibular approach vs. conventional open thyroidectomy: a systematic review and meta-analysis.Endocrine · 2023Pooled it
- Neuromonitoring in endoscopic and robotic thyroidectomy.Updates in surgery · 2017Pooled it
- Transoral Endoscopic Thyroidectomy Vestibular Approach.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far.JSLS : Journal of the Society of Laparoendoscopic SurgeonsPooled it
- Complications of Trans-oral Endoscopic Thyroidectomy Vestibular Approach: A Systematic Review.In vivo (Athens, Greece)Pooled it
- A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Trial
- Transoral endoscopic parathyroidectomy vestibular approach: a novel scarless parathyroid surgery.Surgical endoscopy · 2017Trial
- Wound morbidity in mini-invasive thyroidectomy.Surgical endoscopy · 2011Trial
- Endoscope-assisted transoral removal of benign midline cervical neoplasms: A preliminary study.Oral and maxillofacial surgery · 2026Article
- Transoral robotic thyroidectomy vs. Open thyroidectomy for thyroid cancer: A propensity Score-Matched analysis.Journal of robotic surgery · 2026Article
- The application of transoral robotic surgery in the treatment of head and neck tumors: a bibliometric analysis based on the web of science core collection database.Journal of robotic surgery · 2026Article
- Safety and cosmetic results of trans-submental endoscopic thyroidectomy.Scientific reports · 2025Article
- Oncologic adequacy and outcomes of open, transoral endoscopic, and robotic thyroidectomy for papillary thyroid carcinoma: a propensity score-matched analysis.World journal of surgical oncology · 2025Article
- Is drain placement necessary in transoral endoscopic thyroidectomy via vestibular approach?BMC surgery · 2025Article
- Skin sensory loss at the chin and lower lip in transoral robotic thyroidectomy: Follow-up of up to two years.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
- Comparison of the degree of patient satisfaction between transoral thyroidectomy and open thyroidectomy: a survey-based study.BMC surgery · 2025Article
- Triumph Over Butchery: Guest Editorial for Indian Journal of Surgical Oncology.Indian journal of surgical oncology · 2025Article
- Natural orifice trans-oral, trans-vestibular endoscopic thyroidectomy: Surgical steps and technique.Journal of minimal access surgery · 2025Article
69 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEndoscopic neck surgery is requested by an increasing number of patients. The access trauma of the axillary, breast, and chest approaches is greater than with open or video-assisted surgery. The authors tested the feasibility of the sublingual transoral access, which they believe is the most promising minimally invasive endoscopic access to the thyroid gland from outside the neck region.
methodsThe sublingual transoral access was first evaluated in two fresh human cadavers. An experimental investigation then was performed using a porcine model. A total of 10 endoscopic transoral thyroidectomies were performed in 10 pigs using a modified axilloscope with an obturator, ultrasonic scissors, and a neuromonitoring system to identify the recurrent laryngeal nerve.
resultsA complete transoral thyroid resection was achieved with both the human cadavers and all the living pigs. Despite the complexity of the anatomic region, the transoral procedure was astonishingly easy to perform. In the animal study, the time from the introduction of the obturator just above the larynx to its removal was 59 s. The average overall operation time was 50 min. The neuromonitoring system permitted the regular function of the recurrent laryngeal nerves on both sides to be proved after removal of the thyroid gland. The pigs were observed for another 2 h after the operation. No complications occurred during the operation or afterward.
conclusionsEndoscopic transoral thyroid resection is possible. It proved to be a safe procedure in living pigs and astonishingly easy to perform. The results may be helpful for thyroid resections in humans using a similar access, as suggested by the thyroidectomies in human cadavers preceding this study.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.