Evidence map›Paper›PMID 41145699›Full record

ArticleSurgical endoscopy2026

A comparative study of transoral and submental versus vestibular endoscopic thyroidectomy in patients with papillary thyroid carcinoma.

Yu Zhang, Hai Hu, Jun-Tao Tan, Ting-Jing Yao, Li-Yu Qian

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yu ZhangDepartment of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China.
Hai HuDepartment of General Surgery, Nanchang People's Hospital, Nanchang, China.
Jun-Tao Tan *Jiangxi Province Key Laboratory of Breast Diseases, Nanchang People's Hospital, Nanchang, China.
Ting-Jing YaoDepartment of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China. tingjingyao23@163.com.
Li-Yu QianDepartment of Surgical Oncology, The First Affiliated Hospital of Bengbu Medical University, Bengbu, China. aqianliyu2006@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTransoral endoscopic thyroidectomy vestibular approach (TOETVA) is widely adopted for its cosmetic advantage but is associated with postoperative oral discomfort and mental nerve injury. This study aimed to evaluate whether a modified technique, transoral and submental endoscopic thyroidectomy (TOaST), improves perioperative outcomes in patients with papillary thyroid carcinoma (PTC).

methodsA retrospective study was conducted on 136 patients with PTC who underwent either TOaST (n = 51) or TOETVA (n = 85). Key outcomes included operative time, time to oral intake, postoperative pain, swallowing function, incidence of chin numbness, complications, and cosmetic satisfaction.

resultsTOaST was associated with shorter operative time (123.05 ± 19.45 vs. 143.89 ± 22.68 min, P < 0.001), earlier oral intake (3.12 ± 0.82 vs. 5.22 ± 1.49 h, P < 0.001), and lower pain scores at 24 and 48 h (P < 0.001). Swallowing function on day 3 was better in the TOaST group (P < 0.001). Chin numbness occurred in 17.6% of TOETVA patients but none in the TOaST group (P = 0.001). Overall complication rates and cosmetic satisfaction were similar between the groups.

conclusionsTOaST demonstrates advantages in surgical efficiency, pain control, and early functional recovery without compromising aesthetic results, making it a favorable alternative to TOETVA in selected PTC patients.

Indexed as

CarcinomaNatural Orifice Endoscopic SurgeryThyroidectomyThyroid NeoplasmsAdultAgedCarcinoma, PapillaryFemaleHumansHypesthesiaMaleMiddle AgedOperative TimePatient SatisfactionPostoperative ComplicationsPostoperative PainEndoscopic thyroidectomyMinimally invasive surgeryPapillary thyroid carcinomaTOaSTTOETVA

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Registered trials

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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.