Thyroid surgery has been developed as a new technique for zero scar in surgery by applying transoral endoscopic thyroidectomy with sublingual approach. The new technique is locating the surgery which pierced through floor of mouth, cause severe tissue damage, high complication, and conversion rates to open surgery and surgical difficulties due to limitation of movement. Nevertheless, each report is still including small number of patients. Recently, the transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been proven feasible and safe in several overseas centers. Moreover, a successful TOETVA case was reported in local media in the late last year. Hence, this study is for evaluating the feasibility and safety of the TOETVA prospectively at a tertiary referral center in Hong Kong. The following are the procedure of the study: 1. Recruit patients from the clinic. 2. Patients will receive treatment within 3 months 3. Patients will have different assessments like Ultrasonography assessment, Fine needle biopsy, Direct laryngoscopy, and Cosmectic scoring in Pre-operation, post-operation 2 week, post 1 month, post 3 month, post 6 month and post 12 month. 4. Patients will be monitoring by the same team after the study.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
10
TOVETA is a new approach in surgery of thyroidectomy no longer open on the neck
Queen Mary Hospital
Hong Kong, Hong Kong
The complication rate after TOETVA in 12 months
To record any complication of surgery in every post-operation visit after 12 months. The record will be used for the calculation of complication rate.
Time frame: 12 months
The open conversion rate of TOETVA
To record any cases which need to apply open surgery necessary during the procedure of TOETVA
Time frame: 12 months
The wound infection rate after TOETVA
To record the situation of wound infection after surgery
Time frame: 12 months
The hematoma rate after TOETVA
To record the situation of hematoma after surgery
Time frame: 12 months
The vocal cord palsy rate after TOETVA
To calculate the vocal cord situation after surgery within 12 months
Time frame: 12 months
The hypoparathyroidism rate after TOETVA
To record the thyroid function from blood test in 12 months after surgery and calculate the rate of hypo-parathyroid function
Time frame: 12 months
The pain score of patient after TOETVA
The pain scoring with 0-10 to assess the pain level of having TOETVA
Time frame: 12 months
The satisfaction of patients after having TOETVA in 12 months
The satisfaction in 0-10 scoring after the surgery
Time frame: 12 months
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