Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls
Transoral thyroidectomy is a novel technique that uses three small incisions hidden in the oral vestibule to remove the thyroid gland. It provides excellent cosmetic results and outcomes comparable to the open approach. One of the main obstacles for this technique is the creation of a working space...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-02-01
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| Series: | Cancers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6694/14/4/1031 |
| _version_ | 1797482061005586432 |
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| author | Tsung-Jung Liang I-Shu Chen Shiuh-Inn Liu |
| author_facet | Tsung-Jung Liang I-Shu Chen Shiuh-Inn Liu |
| author_sort | Tsung-Jung Liang |
| collection | DOAJ |
| description | Transoral thyroidectomy is a novel technique that uses three small incisions hidden in the oral vestibule to remove the thyroid gland. It provides excellent cosmetic results and outcomes comparable to the open approach. One of the main obstacles for this technique is the creation of a working space from the lip and chin to the neck. The anatomy of the perioral region and the top-down surgical view are both unfamiliar to general surgeons. As a result, inadequate manipulation might easily occur and would lead to several unconventional complications, such as mental nerve injury, carbon dioxide embolism, and skin perforation, which are rarely observed in open surgery. Herein, we summarize the basic concepts, techniques, and rationales behind working space creation in transoral thyroidectomy to assist surgeons in obtaining an adequate surgical field while eliminating preventable complications. |
| first_indexed | 2024-03-09T22:22:54Z |
| format | Article |
| id | doaj.art-35974250e61a4bc9adafd452d2f5c2f1 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-09T22:22:54Z |
| publishDate | 2022-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-35974250e61a4bc9adafd452d2f5c2f12023-11-23T19:10:20ZengMDPI AGCancers2072-66942022-02-01144103110.3390/cancers14041031Working Space Creation in Transoral Thyroidectomy: Pearls and PitfallsTsung-Jung Liang0I-Shu Chen1Shiuh-Inn Liu2Division of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung City 81362, TaiwanTransoral thyroidectomy is a novel technique that uses three small incisions hidden in the oral vestibule to remove the thyroid gland. It provides excellent cosmetic results and outcomes comparable to the open approach. One of the main obstacles for this technique is the creation of a working space from the lip and chin to the neck. The anatomy of the perioral region and the top-down surgical view are both unfamiliar to general surgeons. As a result, inadequate manipulation might easily occur and would lead to several unconventional complications, such as mental nerve injury, carbon dioxide embolism, and skin perforation, which are rarely observed in open surgery. Herein, we summarize the basic concepts, techniques, and rationales behind working space creation in transoral thyroidectomy to assist surgeons in obtaining an adequate surgical field while eliminating preventable complications.https://www.mdpi.com/2072-6694/14/4/1031transoral endoscopic thyroidectomyparathyroidectomyroboticworking spaceplatysma muscleoral vestibule |
| spellingShingle | Tsung-Jung Liang I-Shu Chen Shiuh-Inn Liu Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls Cancers transoral endoscopic thyroidectomy parathyroidectomy robotic working space platysma muscle oral vestibule |
| title | Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls |
| title_full | Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls |
| title_fullStr | Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls |
| title_full_unstemmed | Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls |
| title_short | Working Space Creation in Transoral Thyroidectomy: Pearls and Pitfalls |
| title_sort | working space creation in transoral thyroidectomy pearls and pitfalls |
| topic | transoral endoscopic thyroidectomy parathyroidectomy robotic working space platysma muscle oral vestibule |
| url | https://www.mdpi.com/2072-6694/14/4/1031 |
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