The role of surgeon-performed ultrasound in transoral endoscopic thyroidectomy vestibular approach(TOETVA)

作     者：Christopher R.Razavi Mohammad Shaear Angkoon Anuwong Jonathon O.Russell Razavi Christopher R.;Shaear Mohammad;Anuwong Angkoon;Russell Jonathon O.

作者机构：Department of Otolaryngology-Head&Nwck SurgeryJohn Hopkins HospitalBaltimoreMDUSA b Minimally Invasive and Endocrine Surgery DivisionDepartment of Surgery Police General Hospital BangkokThailand 

出 版 物：《World Journal of Otorhinolaryngology-Head and Neck Surgery》 (世界耳鼻咽喉头颈外科杂志（英文）)

年 卷 期：2020年第6卷第3期

页      面：150-154页

学科分类：0831[工学-生物医学工程（可授工学、理学、医学学位）] 1002[医学-临床医学] 08[工学] 10[医学] 

主　　题：Transoral thyroidectomy Remote-access thyroidectomy Surgeon-performed ultrasound 

摘      要：Transoral Endoscopic Thyroidectomy Vestibular Approach(TOETVA)is a recently described surgical technique where the thyroid and central neck can be accessed without a cutaneous incision.To date nearly 700 cases have been described within the English literature demonstrating the feasibility,safety,and efficacy of the technique.As more institutions begin to adopt the surgical approach,it is important that surgeons pay close attention to appropriate patient selection and surgical optimization to prevent experience-related complications.A valuable tool to facilitate these considerations is the utilization of surgeon-performed ultrasonography(US).While the merits of surgeon-performed US are well-documented within head&neck endocrine surgery as a whole,its value may be of even greater importance when implementing a novel surgical technique such as TOETVA.Here we highlight and summarize the role of surgeon-performed US within head&neck endocrine surgery,focusing on how it may influence patient selection and surgical planning with TOETVA.