{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:13:01Z","timestamp":1787314381305,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T00:00:00Z","timestamp":1703289600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>It is important for the endoscopic thyroid surgeon to understand the pros and cons of trans\u2010oral endoscopic thyroidectomy\u2010vestibular approach (TOETVA) vis\u2010\u00e0\u2010vis, open conventional thyroidectomy (OTx) so he\/she can help patients in making informed choices regarding the type of procedure to opt for. Swallowing related quality of life (SWAL\u2010QoL) has not been compared between the two approaches. Using a rigorous qualitative methodology and validated reliable tool, this study set out to compare the swallowing related quality of life in patients undergoing TOETVA versus OTx.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Prospective study at 3 time points in patients planned for hemithyroidectomy (Preoperative, 1\u00a0week and 12\u00a0weeks). Data were collected on patients at a tertiary teaching institute in India. Participants ranged from age 18\u201360\u00a0years with a diagnosis of benign euthyroid nodule undergoing hemithyroidectomy. Exclusion criteria were\u2014(1) pre\u2010existing vocal cord abnormalities, (2) undergoing surgery for recurrent nodules, and (3) any neuro\u2010muscular disease affecting swallowing ability. Main outcome measure was comparison of swallowing related quality of life domain scores between patients undergoing hemithyroidectomy via either endoscopic trans\u2010oral or open approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 82 included patients, 40 underwent TOETVA and 42 OTx. Both the groups were comparable in terms of demographic and clinicopathological profile. The mean preoperative SWAL\u2010QOL scores were comparable in all domains. Mean SWAL\u2010QoL scores for all domains on postoperative day 7 were significantly better in TOETVA group with domains burden, eating desire, mental health and communication having medium effect sizes. Physical symptom domain was better in the OTx group but had a small effect size. The difference in SWAL\u2010QoL domains between the two groups persisted for 3\u00a0months also.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Swallowing related quality of life after trans\u2010oral endoscopic thyroidectomy compared to conventional open surgery has not been reported in the literature. Our findings suggest that trans\u2010oral endoscopic thyroidectomy results in significant superior swallowing related quality of life in the majority of domains.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.12012","type":"journal-article","created":{"date-parts":[[2023,12,23]],"date-time":"2023-12-23T10:20:45Z","timestamp":1703326845000},"page":"379-385","source":"Crossref","is-referenced-by-count":11,"title":["A comparison of swallowing related quality of life in patients undergoing transoral endoscopic versus open thyroid surgery"],"prefix":"10.1002","volume":"48","author":[{"given":"Parth","family":"Deshmukh","sequence":"first","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur Madhya Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharath","family":"Shiva","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur Madhya Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0682-4970","authenticated-orcid":false,"given":"Sanjay Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur Madhya Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9031-8690","authenticated-orcid":false,"given":"Pawan","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur Madhya Pradesh India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0604-8676","authenticated-orcid":false,"given":"Dhananjaya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Surgery NSCB Medical College  Jabalpur Madhya Pradesh 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