Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck

Jonathon O. Russell, James Clark, Salem I. Noureldine, Angkoon Anuwong, Mai G. Al Khademh, Hoon Yub Kim, Vaninder K. Dhillon, Gianlorenzo Dionigi, Ralph P. Tufano, Jeremy D. Richmon

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objective Most thyroid surgery in North America is completed via a cervical incision, which leaves a permanent scar. Approaches without cutaneous incisions offer aesthetic advantages. This series represents the largest series of transoral vestibular approaches to the central neck in North America, and the first published reports of robotic transoral vestibular thyroidectomy for thyroid carcinoma. Materials and methods Data was prospectively collected for patients that underwent transoral vestibular approach thyroidectomy and/or parathyroidectomy between April 2016 and February 2017. Results Fifteen patients underwent the procedure for removal of the thyroid (n = 12), parathyroid (n = 2) or both thyroid and parathyroid glands (n = 1). The first case was converted to an open procedure. Fourteen were completed through these remote access incisions, including patients with a body mass index as high as 44. There were no permanent complications. The postoperative median Dermatology Life Quality Index score was 3, which indicates a small effect on quality of life. Conclusion The transoral vestibular approach to the central neck is a promising technique for patients who desire to optimize aesthetics.

Original languageEnglish
Pages (from-to)75-80
Number of pages6
JournalOral Oncology
Volume71
DOIs
Publication statusPublished - 2017 Aug 1

Fingerprint

Parathyroidectomy
Thyroidectomy
Robotics
Neck
Thyroid Gland
North America
Esthetics
Quality of Life
Parathyroid Glands
Dermatology
Thyroid Neoplasms
Cicatrix
Body Mass Index
Skin

Keywords

  • Endoscopic thyroidectomy
  • Minimally invasive
  • Robotic parathyroidectomy
  • Robotic thyroidectomy
  • TOETVA
  • TONS
  • TORT
  • Transoral endoscopic thyroidectomy vestibular approach
  • Transoral thyroidectomy

ASJC Scopus subject areas

  • Oral Surgery
  • Oncology
  • Cancer Research

Cite this

Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck. / Russell, Jonathon O.; Clark, James; Noureldine, Salem I.; Anuwong, Angkoon; Al Khademh, Mai G.; Kim, Hoon Yub; Dhillon, Vaninder K.; Dionigi, Gianlorenzo; Tufano, Ralph P.; Richmon, Jeremy D.

In: Oral Oncology, Vol. 71, 01.08.2017, p. 75-80.

Research output: Contribution to journalArticle

Russell, JO, Clark, J, Noureldine, SI, Anuwong, A, Al Khademh, MG, Kim, HY, Dhillon, VK, Dionigi, G, Tufano, RP & Richmon, JD 2017, 'Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck', Oral Oncology, vol. 71, pp. 75-80. https://doi.org/10.1016/j.oraloncology.2017.06.001
Russell, Jonathon O. ; Clark, James ; Noureldine, Salem I. ; Anuwong, Angkoon ; Al Khademh, Mai G. ; Kim, Hoon Yub ; Dhillon, Vaninder K. ; Dionigi, Gianlorenzo ; Tufano, Ralph P. ; Richmon, Jeremy D. / Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck. In: Oral Oncology. 2017 ; Vol. 71. pp. 75-80.
@article{addcb81b476940a1b24228e5a2269a8e,
title = "Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck",
abstract = "Objective Most thyroid surgery in North America is completed via a cervical incision, which leaves a permanent scar. Approaches without cutaneous incisions offer aesthetic advantages. This series represents the largest series of transoral vestibular approaches to the central neck in North America, and the first published reports of robotic transoral vestibular thyroidectomy for thyroid carcinoma. Materials and methods Data was prospectively collected for patients that underwent transoral vestibular approach thyroidectomy and/or parathyroidectomy between April 2016 and February 2017. Results Fifteen patients underwent the procedure for removal of the thyroid (n = 12), parathyroid (n = 2) or both thyroid and parathyroid glands (n = 1). The first case was converted to an open procedure. Fourteen were completed through these remote access incisions, including patients with a body mass index as high as 44. There were no permanent complications. The postoperative median Dermatology Life Quality Index score was 3, which indicates a small effect on quality of life. Conclusion The transoral vestibular approach to the central neck is a promising technique for patients who desire to optimize aesthetics.",
keywords = "Endoscopic thyroidectomy, Minimally invasive, Robotic parathyroidectomy, Robotic thyroidectomy, TOETVA, TONS, TORT, Transoral endoscopic thyroidectomy vestibular approach, Transoral thyroidectomy",
author = "Russell, {Jonathon O.} and James Clark and Noureldine, {Salem I.} and Angkoon Anuwong and {Al Khademh}, {Mai G.} and Kim, {Hoon Yub} and Dhillon, {Vaninder K.} and Gianlorenzo Dionigi and Tufano, {Ralph P.} and Richmon, {Jeremy D.}",
year = "2017",
month = "8",
day = "1",
doi = "10.1016/j.oraloncology.2017.06.001",
language = "English",
volume = "71",
pages = "75--80",
journal = "Oral Oncology",
issn = "1368-8375",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Transoral thyroidectomy and parathyroidectomy – A North American series of robotic and endoscopic transoral approaches to the central neck

AU - Russell, Jonathon O.

AU - Clark, James

AU - Noureldine, Salem I.

AU - Anuwong, Angkoon

AU - Al Khademh, Mai G.

AU - Kim, Hoon Yub

AU - Dhillon, Vaninder K.

AU - Dionigi, Gianlorenzo

AU - Tufano, Ralph P.

AU - Richmon, Jeremy D.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - Objective Most thyroid surgery in North America is completed via a cervical incision, which leaves a permanent scar. Approaches without cutaneous incisions offer aesthetic advantages. This series represents the largest series of transoral vestibular approaches to the central neck in North America, and the first published reports of robotic transoral vestibular thyroidectomy for thyroid carcinoma. Materials and methods Data was prospectively collected for patients that underwent transoral vestibular approach thyroidectomy and/or parathyroidectomy between April 2016 and February 2017. Results Fifteen patients underwent the procedure for removal of the thyroid (n = 12), parathyroid (n = 2) or both thyroid and parathyroid glands (n = 1). The first case was converted to an open procedure. Fourteen were completed through these remote access incisions, including patients with a body mass index as high as 44. There were no permanent complications. The postoperative median Dermatology Life Quality Index score was 3, which indicates a small effect on quality of life. Conclusion The transoral vestibular approach to the central neck is a promising technique for patients who desire to optimize aesthetics.

AB - Objective Most thyroid surgery in North America is completed via a cervical incision, which leaves a permanent scar. Approaches without cutaneous incisions offer aesthetic advantages. This series represents the largest series of transoral vestibular approaches to the central neck in North America, and the first published reports of robotic transoral vestibular thyroidectomy for thyroid carcinoma. Materials and methods Data was prospectively collected for patients that underwent transoral vestibular approach thyroidectomy and/or parathyroidectomy between April 2016 and February 2017. Results Fifteen patients underwent the procedure for removal of the thyroid (n = 12), parathyroid (n = 2) or both thyroid and parathyroid glands (n = 1). The first case was converted to an open procedure. Fourteen were completed through these remote access incisions, including patients with a body mass index as high as 44. There were no permanent complications. The postoperative median Dermatology Life Quality Index score was 3, which indicates a small effect on quality of life. Conclusion The transoral vestibular approach to the central neck is a promising technique for patients who desire to optimize aesthetics.

KW - Endoscopic thyroidectomy

KW - Minimally invasive

KW - Robotic parathyroidectomy

KW - Robotic thyroidectomy

KW - TOETVA

KW - TONS

KW - TORT

KW - Transoral endoscopic thyroidectomy vestibular approach

KW - Transoral thyroidectomy

UR - http://www.scopus.com/inward/record.url?scp=85020457565&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85020457565&partnerID=8YFLogxK

U2 - 10.1016/j.oraloncology.2017.06.001

DO - 10.1016/j.oraloncology.2017.06.001

M3 - Article

C2 - 28688695

AN - SCOPUS:85020457565

VL - 71

SP - 75

EP - 80

JO - Oral Oncology

JF - Oral Oncology

SN - 1368-8375

ER -