ArticleWorld journal of surgery2020
Printing a Three-Dimensional Patient-Specific Safety Device for Reducing the Potential Risk of Mental Nerve Injury During Transoral Thyroidectomy.
Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.
- Bilateral axillo-breast approach robotic thyroidectomy (BABA-RT) versus transoral robotic thyroidectomy (TORT): a systematic review and meta-analysis.Updates in surgery · 2023Pooled it
- TOETVA: a single surgeon's learning curve and a case report of CASTLE thyroid tumor.Langenbeck's archives of surgery · 2023Article
- A comparative study of two robotic thyroidectomy procedures: transoral vestibular versus bilateral axillary-breast approach.BMC surgery · 2022Article
- Multimodal Assessments of Altered Sensation after Transoral Endoscopic Thyroidectomy.World journal of surgery · 2022Article
- Review
- Printing a static progressive orthosis for hand rehabilitation.Journal of the Chinese Medical Association : JCMA · 2021Article
- Printing a patient-specific instrument guide for skull osteoma management.Journal of the Chinese Medical Association : JCMA · 2020Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThyroidectomy transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe and cosmetically appealing alternative for well-selected patients undergoing thyroidectomy. However, during TOETVA, placement of the two lateral trocars and/or manipulation of the surgical instruments through the trocars may potentially injure and/or compress the mental nerve (MN) because the actual location of the nerve foramen may vary among individuals. The MN injury rate was reported to be as high as 75% in the initial period of robotic-assisted TOETVA. To reduce the potential risk of MN injury, we implemented a three-dimensional printing technology to develop a safety device for TOETVA.
methodsThe patient-specific safety device (PSSD) was a brace with an exact fit to the lower teeth and two safety markers on each side to indicate the location of the mental foramen. For patient in whom the brace would not be applicable, a 3D mandibular model was printed as a PSSD instead. We analyzed 66 patients undergoing TOETVA at our institution from March 2017 to March 2019. The preoperative details and complication profiles were also analyzed.
resultsWith incorporation of the PSSD into our TOETVA procedure, there have been no cases of MN injury.
conclusionsOur own TOETVA series has demonstrated that the implementation of the PSSD has been successful in preoperatively identifying and preventing the potential risk of MN injury. Although the additional requirements of preoperative CT and time for fabricating the device impose limitations, the influence of the PSSD in TOETVA is positive.
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