Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention
In the transoral endoscopic thyroidectomy vestibular approach (TOETVA), three oral vestibular incisions are used to access the thyroid. This approach leaves no scar on the body surface; however, unexpected complications may occur. Three patients (two women, one man) underwent TOETVA using the standa...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/7/1566 |
| _version_ | 1797406859907301376 |
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| author | Tsung-Jung Liang Shiuh-Inn Liu I-Shu Chen |
| author_facet | Tsung-Jung Liang Shiuh-Inn Liu I-Shu Chen |
| author_sort | Tsung-Jung Liang |
| collection | DOAJ |
| description | In the transoral endoscopic thyroidectomy vestibular approach (TOETVA), three oral vestibular incisions are used to access the thyroid. This approach leaves no scar on the body surface; however, unexpected complications may occur. Three patients (two women, one man) underwent TOETVA using the standard three-port technique. Broken cannulas of the 12 mm central port were noted in all cases. All cannulas broke on the ventral side of the distal shaft. The fracture lines were 3–4 cm in length, with some fragments scattered throughout the operative field and oral cavity. The fractures were caused by compression against the mandible while tilting the cannula during surgical manipulation. Male sex, short stature, and protruding chin may be risk factors for cannula fracture in TOETVA. Measures should be taken to prevent this complication, particularly in high-risk patients. |
| first_indexed | 2024-03-09T03:32:43Z |
| format | Article |
| id | doaj.art-b25671efdfa447ac92fecb36e7d99481 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T03:32:43Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-b25671efdfa447ac92fecb36e7d994812023-12-03T14:53:42ZengMDPI AGDiagnostics2075-44182022-06-01127156610.3390/diagnostics12071566Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and PreventionTsung-Jung Liang0Shiuh-Inn Liu1I-Shu Chen2Division of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813414, TaiwanDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813414, TaiwanDivision of General Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung 813414, TaiwanIn the transoral endoscopic thyroidectomy vestibular approach (TOETVA), three oral vestibular incisions are used to access the thyroid. This approach leaves no scar on the body surface; however, unexpected complications may occur. Three patients (two women, one man) underwent TOETVA using the standard three-port technique. Broken cannulas of the 12 mm central port were noted in all cases. All cannulas broke on the ventral side of the distal shaft. The fracture lines were 3–4 cm in length, with some fragments scattered throughout the operative field and oral cavity. The fractures were caused by compression against the mandible while tilting the cannula during surgical manipulation. Male sex, short stature, and protruding chin may be risk factors for cannula fracture in TOETVA. Measures should be taken to prevent this complication, particularly in high-risk patients.https://www.mdpi.com/2075-4418/12/7/1566cannula fracturetrocartransoral endoscopic thyroidectomyvestibular approachthyroid |
| spellingShingle | Tsung-Jung Liang Shiuh-Inn Liu I-Shu Chen Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention Diagnostics cannula fracture trocar transoral endoscopic thyroidectomy vestibular approach thyroid |
| title | Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention |
| title_full | Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention |
| title_fullStr | Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention |
| title_full_unstemmed | Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention |
| title_short | Cannula Fracture during Transoral Endoscopic Thyroidectomy Vestibular Approach: Causes and Prevention |
| title_sort | cannula fracture during transoral endoscopic thyroidectomy vestibular approach causes and prevention |
| topic | cannula fracture trocar transoral endoscopic thyroidectomy vestibular approach thyroid |
| url | https://www.mdpi.com/2075-4418/12/7/1566 |
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