Transoral Endoscopic Thyroidectomy by Vestibular Approach (TOETVA)

Transoral Endoscopic Thyroidectomy by Vestibular Approach (TOETVA) Compared to Conventional Thyroidectomy by Cervical Approach: a Randomized Clinical Trial

Prospective study carried out with ICESP (instituto do Câncer do Estado de São Paulo) patients with thyroid disease with surgical indication

Prospective study carried out with ICESP patients with thyroid disease with surgical indication, according to the aforementioned inclusion criteria, totaling 60 cases, which will be randomized into two groups:

• Conventional Thyroidectomy (30 patients)
• Transoral Endoscopic Thyroidectomy By Vestibular Approach (30 patients)

Inclusion Criteria:

• history of hypertrophic scarring and/or motivation to avoid cervical scarring,
• maximum diameter of the thyroid < 10 cm and of the dominant nodule < 6 cm,
• estimated thyroid volume < 45 ml
• benign lesion (multinodular goiter, cyst),
• indeterminate nodule (Bethesda III or IV),
• suspicious nodule for well-differentiated thyroid carcinoma (Bethesda V and VI) < 2 cm

Exclusion Criteria:

• history of previous surgery or irradiation in the head and neck region and superior mediastinum
• evidence of clinical hyperthyroidism
• preoperative recurrent nerve palsy
• lymph node metastasis
• extra-thyroid extension
• plunging goiter
• oral abscess