{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T00:45:10Z","timestamp":1790642710609,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T00:00:00Z","timestamp":1628726400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Head &amp; Neck"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Well\u2010established conventional thyroidectomy has satisfactory outcomes; however, robotic and endoscopic thyroid surgery can avoid visible anterior neck scars. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is the most recent of these techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective review of 412 patients who underwent TOETVA from 2017 to 2020 in 13 Brazilian centers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study included 359 (87.1%) females and 53 (12.9%) males, with a mean age of 40\u2009years. There were 231 (56.1%) total thyroidectomies. The conversion rate was 0.7%. The transient vocal cord palsy rate was 7.6% (30 patients). Temporary and persistent hypocalcemia rates were 4.0% and 0.8%, respectively. There were two cases of infection (0.5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This is a large multi\u2010institute TOETVA study, with one of the largest cohorts published to date that; despite its retrospective nature and selection bias, reached outcomes comparable to previously reported series, this study reinforced safeness, feasibility, and nationwide reproducibility for this technique.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hed.26846","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T10:45:08Z","timestamp":1628765108000},"page":"3468-3475","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Transoral endoscopic thyroidectomy vestibular approach: Experience from a multicenter national group with 412 patients"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1461-9053","authenticated-orcid":false,"given":"Renan Bezerra","family":"Lira","sequence":"first","affiliation":[{"name":"Department of Head and Neck Surgery and Otorhinolaryngology A.C. Camargo Cancer Center S\u00e3o Paulo Brazil"},{"name":"Post\u2010Graduate in Robotic Head and Neck Surgery, Hospital Israelita Albert Einstein S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"De Cicco","sequence":"additional","affiliation":[{"name":"Instituto de C\u00e2ncer Dr. Arnaldo Vieira de Carvalho S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonardo Guimar\u00e3es","family":"Rangel","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Division Universidade Estadual do Rio de Janeiro (UERJ) Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ant\u00f4nio Augusto","family":"Bertelli","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Division, Department of Surgery Santa Casa Medical School S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guilherme","family":"Duque Silva","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery Division Universidade Estadual do Rio de Janeiro (UERJ) Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joao Paulo","family":"de Medeiros Vanderlei","sequence":"additional","affiliation":[{"name":"Head and Neck Surgery, Private Practice J\u00f5ao Pessoa Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0481-156X","authenticated-orcid":false,"given":"Luiz Paulo","family":"Kowalski","sequence":"additional","affiliation":[{"name":"Department of Head and Neck Surgery and Otorhinolaryngology A.C. 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