{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:02:49Z","timestamp":1780736569269,"version":"3.54.1"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T00:00:00Z","timestamp":1776556800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transoral endoscopic thyroidectomy via the vestibular approach (TOETVA) provides a scarless alternative to open thyroidectomy but entails specific risks, particularly mental nerve injury. How patients weigh these risks against cervical scarring and wound morbidity from open surgery remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this prospective cross\u2010sectional study at a high\u2010volume endocrine surgery centre, 68 consecutive TOETVA patients completed pre\u2010 and postoperative surveys on informational priorities, risk recall, and satisfaction. To contextualize TOETVA\u2010specific morbidity and the informational trade\u2010offs faced by patients, we prospectively identified a contemporary open thyroidectomy cohort and applied 1:1 nearest\u2010neighbor matching by age, sex, indication, and extent of resection, thereby supporting comparative inferences beyond simple descriptive contrasts. All patients received structured, multimodal counselling with centre\u2010specific numerical risks, and an additional questionnaire assessed how risk information influenced procedure choice and willingness to reconsider preferences under alternative risk scenarios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TOETVA patients rated procedural details, TOETVA\u2010specific risks\u2014particularly mental nerve injury\u2014and general thyroidectomy complications as highly important (\u2265\u00a04.7\/5), with recall and satisfaction exceeding 90%. In the TOETVA cohort, transient recurrent laryngeal nerve palsy occurred in 7.4% and transient hypocalcaemia in 6.1%, with no permanent events; mental nerve paraesthesia affected 30.9%, persisting at 6\u00a0months in 4.4%. Matched open thyroidectomy patients showed comparable transient RLN palsy (5.9%) and hypocalcaemia (6.1%), but had 1.5% permanent RLN palsy, 1.5% permanent hypocalcaemia, no mental nerve injury, and 7.4% cervical wound complications. Overall, 94% of patients considered precise numerical risk estimates essential, and 88% reported that comparative risk information strongly influenced technique choice, with many indicating they would reconsider preferences if rates of persistent mental nerve symptoms or neck\u2010scar morbidity changed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Patients prioritise quantified, centre\u2010specific risk information and use it to balance the cosmetic benefits of TOETVA against mental nerve morbidity and the wound risks of open surgery, supporting routine integration of audited complication rates into shared decision\u2010making.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/wjs.70377","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T04:11:56Z","timestamp":1776658316000},"page":"1579-1592","source":"Crossref","is-referenced-by-count":1,"title":["Tailoring the Message: A Survey of Patients' Information Needs and Preferences Before Transoral Endoscopic Thyroidectomy via the Vestibular Approach"],"prefix":"10.1002","volume":"50","author":[{"given":"Daqi","family":"Zhang","sequence":"first","affiliation":[{"name":"Division of Thyroid Surgery China\u2010Japan Union Hospital of Jilin University Jilin Provincial Key Laboratory of Thyroid Disease Jilin Provincial Precision Medicine Laboratory of Molecular Biology and Translational Medicine on Differentiated Thyroid Carcinoma  Changchun 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Ricovero e Cura a Carattere Scientifico (IRCCS) Istituto Auxologico Italiano  Milan Italy"},{"name":"Department of Pathophysiology and Transplantation University of Milan  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lanlan","family":"Wan","sequence":"additional","affiliation":[{"name":"Department of Anesthesia The Second Hospital of Jilin University  Changchun 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