Transoral endoscopic thyroidectomy vestibular approach (TOETVA): a novel option in the treatment of pediatric patients.

S Marchionatti, S Rapp, M C Negueruela, A Begueri, G Russier, A I Voogd
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Abstract

Introduction: Thyroid surgery has increased in the pediatric population. One of the main issues following this surgery is the presence of a neck scar, which has been reported to have an impact on quality of life. Transoral endoscopic thyroidectomy is used in adult patients with good results, but there are few reports on the use of this technique in pediatrics.

Clinical case: 17-year-old female patient diagnosed with toxic nodular goiter. As a result of the patient's refusal to undergo conventional surgery due to the scar, transoral endoscopic lobectomy was carried out. The surgical technique used will be described.

Discussion: In order to prevent the psychological and social impact of neck scars in children, and given the results published on the use of this technique in pediatrics, transoral endoscopic thyroidectomy stands as an alternative to conventional thyroidectomy in adequately selected patients eager to avoid neck scars.

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经口内窥镜甲状腺切除术前庭入路(TOETVA):一种治疗儿科患者的新选择。
简介:甲状腺手术在儿科人群中有所增加。手术后的主要问题之一是颈部疤痕的存在,据报道,这对生活质量有影响。经口内窥镜甲状腺切除术在成人患者中使用效果良好,但在儿科中使用该技术的报道很少。临床病例:17岁女性,诊断为中毒性结节性甲状腺肿。由于患者因疤痕而拒绝接受常规手术,我们进行了经口内窥镜肺叶切除术。所使用的手术技术将被描述。讨论:为了防止儿童颈部疤痕的心理和社会影响,并考虑到该技术在儿科应用的结果,经口内窥镜甲状腺切除术可以作为传统甲状腺切除术的替代方案,用于充分选择渴望避免颈部疤痕的患者。
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CiteScore
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