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Title
1. Introduction
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a. Discussion of Instruments
2. Patient Preparation
3. Exposure
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a. Create 10-mm Incision
b. Subplatysmal Dissection Towards Sternal Notch
c. Create Two 5-mm Incisions
d. Placement of Ports
e. Placement of Stay Suture
4. Creation of Subplatysmal Flap
5. Division of Strap Muscles
6. Preparation of Pretracheal Tissue
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a. Identify Trachea
b. Mobilize Pyramidal Lobe
c. Divide and Mobilize Isthmus
7. Mobilization of Left Lobe
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a. Insert Lateral Retracting Suture
b. Upper Pole Mobilization
8. Identification and Preservation of Superior and Inferior Left Parathyroids
9. Identification of Inferior Thyroid Artery
10. Identification of Left Recurrent Laryngeal Nerve
11. Division of the Ligament of Berry
12. Specimen Extraction
13. Closure
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a. Summary and Final Check for Hemostasis
b. Closure of Strap Muscles
c. Suture Oral Incision
14. Post-op Remarks
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Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Courtney Gibson, MD, MS, FACS
;
Tobias Carling, MD, PhD, FACS
Yale School of Medicine
Tags:
General Surgery
Otolaryngology
Oncologic Surgery
Main Text
Procedure Outline
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Authors
Courtney Gibson, MD, MS, FACS
Tobias Carling, MD, PhD, FACS
Filmed At:
Smilow Cancer Hospital at Yale New Haven
Article Information
Publication Date
11/23/2021
Article ID
243
Production ID
0243
Volume
2021
Issue
243
DOI
https://doi.org/10.24296/jomi/243