{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,4]],"date-time":"2025-06-04T17:34:52Z","timestamp":1749058492172},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T00:00:00Z","timestamp":1568678400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/100007225","name":"Ministry of Science and Technology","doi-asserted-by":"publisher","award":["MOST 107\u20102410\u2010H\u2010075\u2010001"],"award-info":[{"award-number":["MOST 107\u20102410\u2010H\u2010075\u2010001"]}],"id":[{"id":"10.13039\/100007225","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2020,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Thyroidectomy transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe and cosmetically appealing alternative for well\u2010selected patients undergoing thyroidectomy. However, during TOETVA, placement of the two lateral trocars and\/or manipulation of the surgical instruments through the trocars may potentially injure and\/or compress the mental nerve (MN) because the actual location of the nerve foramen may vary among individuals. The MN injury rate was reported to be as high as 75% in the initial period of robotic\u2010assisted TOETVA. To reduce the potential risk of MN injury, we implemented a three\u2010dimensional printing technology to develop a safety device for TOETVA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The patient\u2010specific safety device (PSSD) was a brace with an exact fit to the lower teeth and two safety markers on each side to indicate the location of the mental foramen. For patient in whom the brace would not be applicable, a 3D mandibular model was printed as a PSSD instead. We analyzed 66 patients undergoing TOETVA at our institution from March 2017 to March 2019. The preoperative details and complication profiles were also analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>With incorporation of the PSSD into our TOETVA procedure, there have been no cases of MN injury.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our own TOETVA series has demonstrated that the implementation of the PSSD has been successful in preoperatively identifying and preventing the potential risk of MN injury. Although the additional requirements of preoperative CT and time for fabricating the device impose limitations, the influence of the PSSD in TOETVA is positive.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-019-05155-z","type":"journal-article","created":{"date-parts":[[2019,9,17]],"date-time":"2019-09-17T16:03:17Z","timestamp":1568736197000},"page":"371-377","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Printing a Three\u2010Dimensional Patient\u2010Specific Safety Device for Reducing the Potential Risk of Mental Nerve Injury During Transoral Thyroidectomy"],"prefix":"10.1002","volume":"44","author":[{"given":"Yi\u2010Ting","family":"Yeh","sequence":"first","affiliation":[{"name":"Division of Pediatric Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jui\u2010Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan"},{"name":"Institute of Pharmacology, School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Po\u2010Chung","family":"Kuo","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tien\u2010Hsiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei Taiwan"},{"name":"Department of Mechanical Engineering National Central University Taoyuan Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hsin\u2010Chen","family":"Lee","sequence":"additional","affiliation":[{"name":"Institute of Pharmacology, School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chin\u2010Wen","family":"Chi","sequence":"additional","affiliation":[{"name":"Institute of Pharmacology, School of Medicine National Yang\u2010Ming University Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chen\u2010Hsen","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Taipei Veterans General Hospital Taipei Taiwan"},{"name":"School of Medicine National Yang\u2010Ming University Taipei 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September 2019","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"The authors certify that they have no affiliations with or involvement in any organization or entity with any financial interests (such as honoraria, educational grants, participation in speakers\u2019 bureaus, memberships, employment, consultancies, stock ownership, or other equity interests, and expert testimony or patent-licensing arrangements) or nonfinancial interests (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Informed consent was obtained from all individual participants included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The study was approved by the Institutional Review Board of the Taipei Veterans General Hospital (VGHIRB No: 2016\u201308-023CC).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical standards"}}]}}