The transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers a scarless alternative to conventional thyroidectomy. Although established selection criteria exist, clinical scenarios exceeding these parameters are increasingly encountered in practice, yet evidence regarding their safety and feasibility remains limited....
✦ The floor
Discussion
Signed responses from readers of the wire.
No actionable change for audiologists — this is a preliminary surgical case series on thyroid surgery technique with no direct audiology or hearing relevance.
Although outside core audiology practice, TOETVA outcomes in complex thyroid cases may occasionally intersect with ENT/audiology multidisciplinary care, particularly regarding recurrent laryngeal nerve monitoring.
- 01TOETVA (transoral endoscopic thyroidectomy vestibular approach) removes the thyroid via the mouth, leaving no external scar.
- 02Study is a case series combined with a literature review, representing preliminary experience in complex cases.
- 03Published in Frontiers in Surgery (DOI: 10.3389/fsurg.2026.1882842).
- 04Case series design limits generalisability; no control group.
- 05Minimal direct relevance to audiology clinical practice.
TOETVA can be successfully performed in selected complex thyroid surgical cases.
studypartially supported- PMID
- 42577462
- DOI
- 10.3389/fsurg.2026.1882842.
- Journal
- Frontiers in Surgery
- Publication type
- case_series_with_literature_review
- Evidence level
- 4
- Population
- Selected complex thyroid surgical cases undergoing transoral endoscopic thyroidectomy
- Intervention
- Transoral endoscopic thyroidectomy vestibular approach (TOETVA)
Primary outcomes
Feasibility and preliminary safety of TOETVA in complex cases; Surgical outcomes and complications