ArticleEuropean 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 Surgery2025
Skin sensory loss at the chin and lower lip in transoral robotic thyroidectomy: Follow-up of up to two years.
Article in 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, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed.
- Extraosseous mental nerve anatomy in fresh-frozen Vietnamese cadavers: anatomical considerations for vestibular incisions and trocar placement in transoral endoscopic thyroidectomy via the vestibular approach.Surgical and radiologic anatomy : SRA · 2026Article
- Post-thyroidectomy anterior neck dysfunction: clinical phenotypes, mechanisms, and comprehensive management.Frontiers in endocrinology · 2026Review
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6 authors.
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Abstract
purposeThis study aimed to evaluate the long-term follow-up results of skin sensation alterations at the chin and lower lip in transoral robotic thyroidectomy (TORT).
methodsWe prospectively assessed the cutaneous sensation of the face and neck in 128 patients who underwent TORT using the Semmes-Weinstein monofilament test, preoperatively and postoperatively at one week, one month, three months, one year, and two years serially. Using a numerical rating scale, we also evaluated the patient's subjective symptom score of skin sensory disturbance at the chin and lower lip.
resultsThe mean pressure threshold did not differ pre- and postoperatively in the chin and lower lip innervated by the mental nerve, except in the left side of those one week postoperatively. Seventeen (15.3%) patients at the chin and 8 (7.2%) patients at the lower lip presented with an increased pressure threshold one week after surgery. The mean subjective sensory loss scores at the chin and lower lip increased significantly after surgery and remained until two years after surgery. However, there were no correlations between subjective sensory loss and pressure threshold scores.
conclusionTORT can be performed without permanent sensory loss at the lower lip and chin if the procedure is performed correctly with proper vestibular incisions.
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