Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) has emerged as a scarless, remote-access surgical technique for thyroid cancer. However, evidence regarding its feasibility and oncologic safety in bilateral papillary thyroid carcinoma (PTC) remains limited.
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists or hearing specialists; this article is outside the scope of audiology and hearing care practice.
While thyroid surgery is outside core audiology practice, recurrent laryngeal nerve injury during thyroidectomy can cause voice and occasionally hearing-related referrals, making awareness of evolving surgical techniques peripherally relevant.
- 01TOETVA is a scarless thyroid surgery performed entirely through the mouth.
- 02Study reports early outcomes for bilateral papillary thyroid carcinoma at one Vietnamese centre.
- 03Papillary thyroid carcinoma is the most common thyroid malignancy.
- 04Early outcome data cover surgical safety and completeness of cancer removal.
- 05Findings are preliminary and from a single centre, limiting generalisability.
TOETVA achieves adequate oncological outcomes for bilateral papillary thyroid carcinoma.
studypartially supported- PMID
- 42547044
- DOI
- 10.1111/ases.70362.
- Journal
- Asian Journal of Endoscopic Surgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients with bilateral papillary thyroid carcinoma at a Vietnamese surgical centre
- Intervention
- Transoral endoscopic thyroidectomy via vestibular approach (TOETVA)
Primary outcomes
Early surgical safety outcomes; Oncological adequacy of resection