This paper was designed to reveal the effects of evidence-based rehabilitation nursing (EBRN) combined with early neck and shoulder exercises on cervical mobility in patients with thyroid cancer (TC) undergoing transoral endoscopic thyroidectomy via the vestibular approach (TOETVA).
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists — this RCT concerns post-surgical rehabilitation nursing in thyroid surgery patients and has no direct relevance to audiology clinical practice.
While thyroid surgery can occasionally affect nearby structures relevant to audiology (e.g., vagus nerve), this study addresses orthopedic rehabilitation outcomes and carries no meaningful implication for hearing care practice.
- 01RCT evaluating evidence-based rehabilitation nursing plus early neck/shoulder exercises after transoral endoscopic thyroidectomy.
- 02Primary focus is cervical (neck) mobility outcomes in thyroid cancer patients.
- 03Surgical approach studied (vestibular/transoral) is unrelated to auditory or vestibular audiology practice.
- 04No hearing, balance, or ototoxicity outcomes are reported.
- 05Content is outside the scope of audiology clinical guidance.
- PMID
- 42603204
- DOI
- 10.1007/s12020-026-04744-y.
- Publication type
- research_article
- Evidence level
- 1b
- Population
- Thyroid cancer patients undergoing transoral endoscopic thyroidectomy via the vestibular approach
- Intervention
- Evidence-based rehabilitation nursing combined with early neck and shoulder exercises
- Comparator
- Standard post-operative care (implied)
Primary outcomes
Cervical mobility / range of motion