{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:42:57Z","timestamp":1787312577347,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T00:00:00Z","timestamp":1635206400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Transoral endoscopic thyroidectomy, a novel technique, uses oral vestibule as the entry point and leaves no scar on the body surface. However, because the incisions are close to the mental nerve, nerve damage and the associated sensory impairment are concerning. Herein, we evaluated sensory alteration after transoral endoscopic thyroidectomy and determined factors associated with the prolonged sensory alteration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients who underwent transoral endoscopic thyroidectomy were enrolled. Sensation over the lower lip, chin, and neck was evaluated before and after the surgery. A self\u2010assessment questionnaire, Semmes\u2013Weinstein monofilament test, and two\u2010point discrimination test were used to subjectively and objectively evaluate sensory changes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifty\u2010one patients were enrolled; most of them reported altered sensation, with chin (72.5%) being the most common site, followed by lower lip (52.9%), upper neck (33.3%), and lower neck (5.9%) on postoperative day 2. The sensory disturbance resolved within 3\u00a0months. Factors associated with prolonged sensory alteration are male sex and old age. Fourteen patients (27.5%) experienced mild drooling from the mouth, which was usually self\u2010limiting in 1\u00a0month. Sensory impairments in light touch pressure threshold and two\u2010point discrimination were significant in the chin and neck on postoperative day 2 and at 1 week. The ability to discern two\u2010point was also compromised in the lower lip on postoperative day 2. All these significant changes normalized to preoperative baseline at 1\u00a0month.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There was an altered sensation after transoral endoscopic thyroidectomy with the most common and disturbed in the chin. Sensory impairment was usually transient and recovered in 3\u00a0months.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00268-021-06356-1","type":"journal-article","created":{"date-parts":[[2021,10,26]],"date-time":"2021-10-26T12:03:20Z","timestamp":1635249800000},"page":"600-609","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Multimodal Assessments of Altered Sensation after Transoral Endoscopic Thyroidectomy"],"prefix":"10.1002","volume":"46","author":[{"given":"Tsung\u2010Jung","family":"Liang","sequence":"first","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Veterans General Hospital No. 386, Dazhong 1st Rd 81362 Zuoying District, Kaohsiung Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University No.155, Sec.2, Linong Street 11221 Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuo\u2010Chiang","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Veterans General Hospital No. 386, Dazhong 1st Rd 81362 Zuoying District, Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shiuh\u2010Inn","family":"Liu","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Veterans General Hospital No. 386, Dazhong 1st Rd 81362 Zuoying District, Kaohsiung Taiwan"},{"name":"School of Medicine National Yang Ming Chiao Tung University No.155, Sec.2, Linong Street 11221 Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I.\u2010Shu","family":"Chen","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Veterans General Hospital No. 386, Dazhong 1st Rd 81362 Zuoying District, Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nai\u2010Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of General Surgery, Department of Surgery Kaohsiung Veterans General Hospital No. 386, Dazhong 1st Rd 81362 Zuoying District, Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,10,26]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010017\u20105705\u20108"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.3366"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.beem.2019.05.004"},{"key":"e_1_2_8_5_1","first-page":"101","article-title":"How to avoid and manage mental nerve injury in transoral thyroidectomy","volume":"35","author":"Zhang D","year":"2019","journal-title":"Surg Technol Int"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103022"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.26149"},{"key":"e_1_2_8_8_1","unstructured":"ChenYH KimHY AnuwongAet al. 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