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Scarless Thyroid Surgery : Endoscopic Approach through the Mouth (#TOETVA)

THANYAWAT SASANAKIETKUL,M.D

Tired of the idea of a neck scar from thyroid surgery? There’s a new, minimally invasive option: Transoral Endoscopic Thyroidectomy (TOETVA). This article explores TOETVA, its benefits, and why it might be the right choice for you.

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Who Needs Thyroid Surgery?

There are three main types of thyroid disease:

Hyperthyroidism: Overactive thyroid function
Hypothyroidism: Underactive thyroid function
Thyroid Nodules: Lumps or mass in the thyroid (can be benign or cancerous)

Medication is often the first line of treatment, especially for mild cases or low risk of cancer. However, surgery becomes necessary for:

Fail Medication
Severe symptoms such as breathing or swallowing
Large or fast-growing nodules
Confirmed thyroid cancer

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Traditional vs. Endoscopic Thyroid Surgery

There are two main types of thyroid surgery:

Open Thyroidectomy

Traditional surgery with a neck incision, leaving a visible scar (6-8 cm).

Endoscopic Thyroidectomy

Minimally invasive surgery using an endoscope (camera) through smaller incisions in various locations:

Armpit
Breast
Behind the ear
Oral Cavity (TOETVA)

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Why Choose Transoral Endoscopic Thyroidectomy (TOETVA)?

TOETVA offers several advantages over traditional surgery:

Scarless Neck

Incisions are hidden inside the mouth, leaving no visible scar on the neck.

Faster Recovery

Smaller incisions mean quicker healing and less pain, allowing for a faster return to daily activities.

Reduced Risk of Complications:

High-resolution cameras provide magnified views for surgeons, leading to precise identification of critical structures like the parathyroid glands and vocal cords. This minimizes the risk of nerve damage, post-surgical hoarseness and other complications.

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Who is a Candidate for Transoral Endoscopic Thyroidectomy (TOETVA)?

Fewer side effects compared to traditional surgery
lower risk of nerve injury, hoarseness, or low calcium levels
Waterproof wound allows for normal showering
Considered the latest and safest technique for scarless thyroid surgery

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Thyroid Surgery Center at Praram9 Hospital

Praram 9’s Thyroid Surgery Center offers a comprehensive approach to treating thyroid disorders, including diagnosis, screening and surgery by a renowned team of expert clinicians using state-of- the-art medical facilities and equipment.

Dr. Thanyawat Sasanakietkul, a highly experienced specialist surgeon at Praram 9 Hospital in both open and endoscopic oral cavity thyroidectomy at Praram9 Hospital, has performed over 2,000 thyroid surgeries, including both open and endoscopic procedures. With expertise in treating various thyroid conditions, such as hyperthyroidism, goiter, Hashimoto’s thyroiditis, benign thyroid nodules, and thyroid cancer, he is renowned as one of the pioneering surgeons globally to perform endoscopic thyroidectomy via the oral cavity.

As mentioned, endoscopic thyroidectomy through the oral cavity eliminates the need for external skin incisions, reduces postoperative pain, promotes rapid recovery, and minimizes the risk of hoarseness after surgery. Therefore, it is considered an appealing surgical option in the present time.

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About the Author

THANYAWAT SASANAKIETKUL,M.D

Surgery Center

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Thyroid and Thyroid Surgery Center

THANYAWAT SASANAKIETKUL,M.D

Surgery Center

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Thyroid and Thyroid Surgery Center

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