ArticleSurgical endoscopy2022
Trans-oral endoscopic thyroidectomy vestibular approach (TOETVA) for the pediatric population: a multicenter, large case series.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Remote-Access Thyroidectomy in the Pediatric Population: a Systematic Review.Advances in therapy · 2023Pooled it
- Is male sex a barrier to transoral endoscopic thyroidectomy? A comparative study of surgical outcomes.Annals of surgical treatment and research · 2026Article
- Scarless thyroid surgery in children: a pediatric TOETVA cohort for differentiated thyroid carcinoma.Pediatric surgery international · 2026Article
- Did scarless thyroidectomy meet expectations? An evaluation in the aspect of cosmesis: A single-centre prospective study.Journal of minimal access surgery · 2026Article
- Case Report: endoscopic thyroidectomy via total areola approach in a six-year-old patient with thyroid follicular adenoma.Frontiers in pediatrics · 2025Article
- Modified Radical Neck Dissection for Papillary Thyroid Carcinoma via a Combined Endoscopy Approach: The Transoral Approach and the Chest Approach.Annals of surgical oncology · 2024Article
- Paradigms of intraoperative neuromonitoring in paediatric thyroid surgery.Frontiers in endocrinology · 2024Review
- Transoral endoscopic thyroidectomy vestibular approach as a novel technique for pediatric populations: Results from a single surgeon.Frontiers in endocrinology · 2023Article
- The global status and hotspots of research in the field of trans-oral endoscopic thyroidectomy (TOET) from 2008 to 2022.Frontiers in surgery · 2023Article
- Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention.Diagnostics (Basel, Switzerland) · 2022Article
- Laryngeal Neural Monitoring during Pediatric Thyroid Cancer Surgery-Is Transcartilage Recording a Preferable Method?Cancers · 2021Article
- Case Report: Transoral Endoscopic ThyroidectomyFrontiers in pediatrics · 2021Article
- Preventive Transoral Endoscopic Thyroidectomy by Vestibular Approach in 6-Year-Old Patient with the High-Risk RET C634R Germline Mutation.Case reports in oncologyArticle
Corrections and comments
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Authors and funding
9 authors at 6 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionA cervical scar has been shown to have an impact on the quality of life of children undergoing thyroid surgery. Transoral endoscopic vestibular thyroidectomy via the vestibular approach (TOETVA) offers the absence of a cutaneous incision, and has not been described to date in the pediatric population.
objectiveTo describe the first series of TOETVA in a pediatric population. PATIENTS AND
methodsA retrospective, multicenter study, including all patients > 18 years old who underwent TOETVA. Data was prospectively collected and included demographics, preoperative ultrasound, cytology and indications for surgery. Intraoperative parameters included length of surgery and complications, with final pathology and postoperative course also reviewed. TOETVA surgical success was defined as completion of surgery via this approach.
resultsForty-eight children were included. Of these, 43 (89.5%) were girls. The median age was 16 years (range 10-17). The most common indication for surgery was a benign thyroid nodule (n = 26, 54.1%). Eleven patients (22.9%) had papillary thyroid carcinoma on final pathology, of which 90.9% (10/11) were diagnosed pre-operatively based on FNA cytology. Hemithyroidectomy was performed in 36 patients (75%). All surgeries were completed endoscopically. The mean malignant tumor size was 1.4 ± 0.4 cm and all tumors were completely excised with clean margins. No permanent complications were documented. A single patient (2.1%) had transient RLN injury (1.6%, 1/60 nerves at risk). Transient hypocalcemia was documented in 4 of the 12 patients undergoing total thyroidectomy (33.3%). Transient mental nerve injury/chin hypoesthesia was documented in 2 patients (4.2%).
conclusionsTOETVA appears to be a feasible and safe approach for thyroidectomy in the pediatric population in carefully selected cases, and may be discussed with patients and parents as an alternative for the trans-cervical approach.
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