The transoral endoscopic thyroidectomy vestibular approach (TOETVA) has emerged as a scarless, minimally invasive alternative to conventional open thyroidectomy (OT). Although TOETVA has shown acceptable safety outcomes in thyroid surgery, its role in Graves' disease remains uncertain because of the technical complexity associated with hypervascular thyroid glands.
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists or hearing specialists; this thyroid surgery comparison has no direct relevance to audiology clinical practice.
This article has minimal relevance to the audiology field and appears to have been indexed due to the term 'vestibular approach,' which refers to the mouth floor entry point in thyroid surgery rather than the inner-ear vestibular system.
- 01Compares transoral endoscopic thyroidectomy vestibular approach (TOETVA) with open thyroidectomy for Graves' disease.
- 02The 'vestibular approach' here refers to oral vestibule (mouth), not the inner ear.
- 03Systematic review and meta-analysis design offers high evidence level for thyroid surgery outcomes.
- 04No audiology, hearing, or inner-ear content is addressed.
- 05Likely indexed in audiology feeds due to keyword overlap with 'vestibular.'
- PMID
- 42914575
- DOI
- 10.1177/10926429261501336.
- Journal
- Cirugía y Cirujanos
- Publication type
- meta_analysis
- Evidence level
- 1a
- Population
- Patients with Graves' disease undergoing thyroidectomy
- Intervention
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA)
- Comparator
- Open thyroidectomy
Primary outcomes
Surgical complications; Operative outcomes