Transoral endoscopic thyroidectomy vestibular approach (TOETVA) was introduced in our program as a remote-access, "scarless" alternative to open thyroidectomy to meet cosmetic demand. With increasing experience and the availability of outpatient technologies, its role shifted....
✦ The floor
Discussion
Signed responses from readers of the wire.
✦ Clinical Takeaway ✦
No actionable change — this article concerns thyroid surgery technique and has no direct relevance to audiology practice.
✦ Why It Matters ✦
This article has no meaningful relevance to audiology; it concerns surgical abandonment of a thyroidectomy approach and is unlikely to affect hearing-related clinical practice.
✦ Key Points ✦
- 01TOETVA is a scarless thyroid removal technique performed through the mouth.
- 02The retrospective study covers a 10-year period of institutional experience.
- 03Reasons for abandoning the transoral route are examined (e.g., complications, outcomes).
- 04Published in Surgery journal (2026).
- 05No audiology relevance identified.
✦ Research metadata ✦
- PMID
- 42208475
- DOI
- 10.1016/j.surg.2026.110292.
- Journal
- Surgery
- Publication type
- research_article
- Evidence level
- 4
- Population
- Patients who underwent transoral endoscopic thyroidectomy vestibular approach (TOETVA)
- Intervention
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA)
Primary outcomes
Reasons for abandonment of the transoral route; Surgical outcomes over 10 years