Observational studySurgical endoscopy2020
Anatomical study of gasless transoral thyroidectomy and clinical application.
Observational study in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Sensory changes in the chin and lower lip after transoral endoscopic thyroidectomy.Surgical endoscopy · 2026Observational
- 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
- Transoral robotic thyroidectomy using Versius platform: a preclinical feasibility study in cadavers.Journal of robotic surgery · 2025Article
- A suspension surgical space construction method involving a gasless transoral endoscopic thyroidectomy vestibular approach: a single-center experience.World journal of surgical oncology · 2025Article
- Progress in gasless endoscopic thyroidectomy.Frontiers in endocrinology · 2024Review
- En bloc resection of total thyroid and bilateral central compartment lymph nodesFrontiers in endocrinology · 2023Article
- Flexible single port access in transoral endoscopic thyroidectomy vestibular approach.Gland surgery · 2022Article
- Review
- Endoscopically-Assisted Scar-Free Midline Neck Mass Excision.Clinical and experimental otorhinolaryngology · 2021Review
- Complications of Transoral Thyroidectomy: Overview and Update.Clinical and experimental otorhinolaryngology · 2021Review
- Robotic Modified Radical Neck Dissection Through the Bilateral Axillary Breast Approach.Clinical and experimental otorhinolaryngology · 2021Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransoral thyroidectomy is becoming a preferred technique because it has the advantage of not leaving a scar after surgery. However, it is not yet standard because of the anatomic nerve complexity of this oral cavity and difficulty of approach. The aim of this study was to determine the safety zone of a gasless transoral thyroidectomy approach using an anatomical study and to evaluate the efficacy of this approach on clinical application.
methodsPhase 1, twenty unilateral specimens from fresh cadavers underwent staining by the modified Sihler's method to identify nerves around the oral vestibules. Then, the safety zone of the transoral thyroidectomy approach was proposed. Phase 2, a comparative analysis of the clinical outcomes of gasless transoral thyroidectomy through the safety zone versus transcutaneous thyroidectomy approach.
resultsIn phase 1, numerous inferior labial branches diverged from the mental nerve and were distributed across the lower lip. In most cases, the most lateral branch reached almost to the corner of the mouth, whereas a nerve-free area was present at the medial region of the lower lip. The suggested safety zone was presented as a trapezoid shape. In phase 2, there were no significant differences in age, mass size, or complications between the two groups. However, the operation time in the transoral thyroidectomy group was longer than in the transcutaneous group (p = 0.001).
conclusionsBased on the anatomical study, we suggested a safety zone for the gasless transoral thyroidectomy. On application of this safety zone, gasless transoral thyroidectomy is a safe and feasible procedure.
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