Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is currently considered the most promisingly scarless approach to the thyroid and has gained more acceptance. Materials and Methods: We described a case of faulty TOETVA. Results: The faulty TOETVA resulted in pneumomediastinum, diffuse subcutaneous emphysema, prolonged surgery, and anesthesia. Conclusions: The important technical considerations during TOETVA, including the use of external retraction, the identification of the subplatysmal plane of dissection, CO 2 insufflation settings, the learning curve, and patient selection, were described and discussed.
|Journal||Surgical Laparoscopy, Endoscopy and Percutaneous Techniques|
|Publication status||Published - 2018 Oct 1|
- endoscopic thyroidectomy
- subcutaneous emphysema
- transoral thyroidectomy
ASJC Scopus subject areas