Postauricular–submental approach endoscopic thyroidectomy

Piromchai, Patorn; Wijakkanalan, Pattaramon; Teeramatwanich, Watchareeporn; Kasemsiri, Pornthep; Laohasiriwong, Supawan; Ratanaanekchai, Teeraporn

doi:10.1111/coa.12791

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…1 The video-assisted and total endoscopic approaches were developed after the success in endoscopic head and neck surgery such as thyroidectomy and parathyroidectomy. [4][5][6][7] The objective of these approaches was to hide or decrease the neck scar that was easily noticeable.…”

Section: Discussionmentioning

confidence: 99%

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Piromchai

Suetrong

2020

Ear Nose Throat J

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Objectives: The objective of this pilot study was to report the feasibility and safety of a new 3-port supraclavicular approach in endoscopic submandibular sialoadenectomy. Methods: We reported the safety, surgical feasibility, and aesthetic features of the total endoscopic submandibular sialoadenectomy (submandibular gland excision) using a 3-port supraclavicular approach in our institute from December 2018 to January 2020. Results: Endoscopic submandibular sialoadenectomy using a 3-port supraclavicular approach was performed in 2 patients with intraglandular sialolithiasis. No major adverse events occurred in this study. The patient’s satisfaction score was high (more than 8; range: 0-10). Conclusions: The 3-port supraclavicular approach submandibular sialoadenectomy is a feasible method that permits a relatively good surgical scarring and minimal adverse effects.

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Section: Discussionmentioning

confidence: 99%

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Piromchai

Suetrong

2020

Ear Nose Throat J

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“…Bilateral submental incisions are then made for the 5 mm short trocars. At least two fingerbreadths below the mandible are recommended to avoid injury to the submental nerve [ 1 , 2 , 3 ] ( Figure 1 ).…”

Section: Methodsmentioning

confidence: 99%

“…The three-port submental endoscopic approach and its variations have been gradually gaining acceptance since we introduced these approaches in 2016 [ 1 , 2 , 3 ]. The advantages of this method include the following: (1) no tumor size limit; (2) no paresthesia around the nipples, chest wall, or chin; (3) the ability of the midline endoscopic view to provide a better orientation from which surgical landmarks are more visible; (4) the ability to perform bilateral thyroid and parathyroid dissection; and (5) scars being hidden when the neck is in a natural position [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of Quality of Life between Patients Undergoing Submental Endoscopic Thyroidectomy and Conventional Thyroidectomy: A Prospective Controlled Clinical Trial

Piromchai

2022

JCM

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The objectives of this study were to compare the surgical outcomes and quality of life between patients undergoing submental endoscopic thyroidectomy and those undergoing conventional thyroidectomy. The surgical outcomes and quality of life were recorded. Forty-eight patients were included in the study. Their ages ranged from 20 to 60 years. All patients underwent lobectomy, isthmectomy, or the combination of lobectomy and isthmectomy. Most histological diagnoses were benign (85.42%). The submental endoscopic thyroidectomy group showed better scores in the energy/fatigue, emotional wellbeing, and general health domains (p = 0.006, 0.041, and 0.004, respectively). There were no statistically significant differences in surgical outcomes between the submental endoscopic thyroidectomy and conventional thyroidectomy groups (p > 0.05). Submental endoscopic thyroidectomy is feasible, and permits a better quality of life in terms of the energy/fatigue, emotional wellbeing, and general health domains.

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“…The extracervical approaches include axillary, anterior chest, combined axillary and breast, posterior auricular and transoral approaches. 1,[5][6][7][8][9] However, some of these techniques such as the axillary or the combined axillary and breast involve larger areas of flap dissection due to a lack of natural anatomic planes, and may not be truly minimally invasive. 1,2 Natural orifice transluminal endoscopic surgery (NOTES) techniques have been adapted to thyroid surgery over the past ten years.…”

Section: Introductionmentioning

confidence: 99%

Transoral endoscopic thyroidectomy vestibular approach: early experience in a single centre

et al. 2019

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Background: Conventional open thyroidectomy is associated with a visible scar in the neck which may cause significant psychological distress to some patients, especially young women. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is an adaptation of the natural orifice transluminal endoscopic surgery (NOTES) technique to thyroid surgery and allows for a scarless surgery with minimal dissection.Methods: This study retrospectively reviewed all TOETVA surgeries performed at the department of endocrine surgery between August 2016 and July 2018. Protocol for selecting patients for this novel approach included patients with clinically benign thyroid nodules less than 6cm in diameter, with a strong preference for scarless surgery. The surgery was performed endoscopically through the inferior oral vestibule using conventional laparoscopic instruments.Results: A total of 11 patients were included. The mean size of the thyroid nodules was 3.72 cm. Hemithyroidectomy was performed in 7 patients and total thyroidectomy in 4. The median operative time was 150 minutes for hemithyroidectomy and 225 minutes for total thyroidectomy. One patient required conversion to open thyroidectomy due to excessive bleeding. Adverse effects included transient mental nerve palsy in 2 patients, temporary RLN palsy in 1 patient and temporary hpoparathyroidism in 1 patient. All 10 patients who underwent successful TOETVA reported satisfaction with the cosmetic outcome.Conclusions: TOETVA can be used to offer scar free thyroidectomy in appropriately selected patients. Attention to the anatomy of the mental nerve is essential to prevent nerve injury. Additionally the relatively longer operative time could lessen with increasing operator experience.

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Postauricular–submental approach endoscopic thyroidectomy

Cited by 6 publications

References 6 publications

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Total Endoscopic Submandibular Sialoadenectomy Using a 3-Port Supraclavicular Approach: A New Technique

Comparison of Quality of Life between Patients Undergoing Submental Endoscopic Thyroidectomy and Conventional Thyroidectomy: A Prospective Controlled Clinical Trial

Transoral endoscopic thyroidectomy vestibular approach: early experience in a single centre

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