Health Articles

Knowledge

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.



Table of content




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


> Return to table of content




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)


> Return to table of content




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.



> Return to table of content



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


> Return to table of content



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.

Related Articles (10)

View All

Ovarian Cysts: A Hidden Threat Every Woman Should Know

These days, who would have thought that “ovarian cysts” would become a silent danger women need to be aware of? What’s even more concerning is that ovarian cysts often present no clear warning signs. Many women may be unaware that they have an ovarian cyst until they experience severe symptoms such as intense menstrual cramps, irregular periods, abdominal bloating, noticeable lumps in the pelvic area, or severe pain during intercourse. If left untreated, this condition can potentially be life-threatening. Unveiling the Secrets of Ovarian Cysts with a Specialist Professor Emeritus Dr. Sangchai Preutthipan, a specialist in reproductive medicine and laparoscopic surgery from Praram 9 Hospital, explains that the “ovaries” are small, thumb-sized organs responsible for producing eggs each month. With each ovulation, a fluid-filled sac forms around the egg. Sometimes, these sacs don’t dissolve as they should, leading to cyst formation. There are several types of ovarian cysts, including those caused by ovarian dysfunction, tumor-related cysts, endometriosis cysts (also known as chocolate cysts), cysts resembling other body tissues, and even cancerous cysts. Dr. Sangchai further notes that women of reproductive age up until menopause are at risk for ovarian cysts. Around 30-35% of women develop cysts due to ovarian dysfunction, while 20% develop tumor-related or chocolate cysts. Approximately 15% may have cysts that resemble other tissue types, and 1-5% are diagnosed with cancerous cysts. Each type of cyst carries different health risks.

Read More

Copyright © 2024 All Rights Reserved | Praram 9 Hospital