Transoral endoscopic vestibular approach for thyroidectomy and parathyroidectomy - From promise to practice

Am J Otolaryngol. 2021 Sep-Oct;42(5):103022. doi: 10.1016/j.amjoto.2021.103022. Epub 2021 Mar 31.


Objectives: To describe the evolution and recent series on transoral endoscopic vestibular approach thyroidectomy and parathyroidectomy (TOET/PVA).

Data sources: PubMed, Google Scholar.

Review methods: Review of the available English literature.

Results: TOET/PVA may offer several advantages over other remote access thyroidectomy approaches and has been adopted by many centers worldwide with excellent success rates. Indications include benign disease and early thyroid cancer patients. Complication rate is comparable to the trans-cervical approach. The suggested framework has been validated in recent studies and its feasibility confirmed.

Conclusion: TOET/PVA has now been used to treat thousands of patients worldwide due to low cost, short learning curve and excellent cosmetic outcomes. Further studies will be necessary to demonstrate oncologic non-inferiority and also the true value that is added by the approach.

Keywords: Cancer; Endoscopy; Parathyroid; Thyroid; Transoral.

Publication types

  • Review

MeSH terms

  • Cicatrix / etiology
  • Cicatrix / prevention & control
  • Feasibility Studies
  • Humans
  • Learning Curve
  • Parathyroid Glands / surgery
  • Parathyroidectomy / adverse effects
  • Parathyroidectomy / education
  • Parathyroidectomy / methods*
  • Thyroid Neoplasms / surgery*
  • Thyroidectomy / adverse effects
  • Thyroidectomy / education
  • Thyroidectomy / methods*
  • Treatment Outcome