{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T16:25:26Z","timestamp":1770567926344,"version":"3.49.0"},"reference-count":15,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Col. Bras. Cir."],"abstract":"<jats:p>ABSTRACT The thyroidectomy is the most frequently executed procedure in head and neck surgery. Since its first description by Kocher, the transverse cervical incision has been the main access to the thyroid site, as it provides broad exposure of the central neck compartment. Despite the meticulous suture of the incision, the development of a scar with variable dimensions is unavoidable and, hence, some patients might not agree to the approach, due to this consequence. The transoral endoscopic thyroidectomy vestibular access (TOETVA) gains importance as an alternative to the traditional surgery, since it avoids the formation of visible scars. The objective of this study is to develop a systematic review on the currently available literature to evaluate possible complications related to the TOETVA. The systematic review was based on the databases of Medline, Cochrane library, Embase and Scielo\/Lilacs, resulting in the selection of six studies, which were compared in regard of the type of study duration of the study and identified complications. Our study showed that TOETVA is related to complications similar to the ones identified in the conventional approach, such as hematoma, seroma, recurrent laryngeal nerve injury, hypoparathyroidism, surgical site infection. The TOETVA was associated to a higher risk of thermic injury of the skin and mentual nerve paresthesia. Moreover, it was possible to conclude that TOETVA is a safe procedure for well selected patients, with favorable conditions and concerned about the aesthetic outcome. The risk of complications of the procedure should always be explained to those patients.<\/jats:p>","DOI":"10.1590\/0100-6991e-20202557","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T14:38:43Z","timestamp":1611153523000},"source":"Crossref","is-referenced-by-count":10,"title":["Complications of transoral endoscopic thyroidectomy vestibular approach (TOETVA)"],"prefix":"10.1590","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7281-4044","authenticated-orcid":false,"given":"GILBERTO MENDES","family":"MENDERICO JR","sequence":"first","affiliation":[{"name":"Centro Universit\u00e1rio Lus\u00edada,  Brazil; Col\u00e9gio Brasileiro de Cirurgi\u00f5es,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"ABRAH\u00c3O LOTHAR","family":"WEISSENBERG","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Lus\u00edada,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CLARA MARINHO","family":"BORBA","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Lus\u00edada,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"GIOVANNA MORALES","family":"SALLANI","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Lus\u00edada,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JANA\u00cdNA DE OLIVEIRA","family":"POY","sequence":"additional","affiliation":[{"name":"Centro Universit\u00e1rio Lus\u00edada,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"issue":"5","key":"ref1","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1177\/1553350618785281","article-title":"How I Do It New Dissector Device Allows for Effective Operative Field in Transoral Endoscopic Thyroid Surgery Using Vestibular Approach","volume":"25","author":"M\u00fcller V","year":"2018","journal-title":"Surg Innov"},{"issue":"5","key":"ref2","article-title":"Transoral endoscopic thyroidectomy by vestibular approach (TOETVA) Initial experience in Brazil","volume":"45","author":"Tesseroli MAS","year":"2018","journal-title":"Rev Col Bras Cir"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.oraloncology.2017.06.001","article-title":"Transoral thyroidectomy and parathyroidectomy - A North American series of robotic and endoscopic transoral approaches to the central neck","volume":"71","author":"Russell JO","year":"2017","journal-title":"Oral Oncol"},{"issue":"6","key":"ref4","doi-asserted-by":"crossref","first-page":"546","DOI":"10.21037\/gs.2016.11.04","article-title":"Transoral endoscopic thyroidectomy vestibular approach (TOETVA) for Graves' disease a comparison of surgical results with open thyroidectomy","volume":"5","author":"Jitpratoom P","year":"2016","journal-title":"Gland Surgery"},{"issue":"5","key":"ref5","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1002\/lio2.200","article-title":"Anterior cervical incision-sparing thyroidectomy Comparing retroauricular and transoral approaches","volume":"3","author":"Russell JO","year":"2018","journal-title":"Laryngoscope Investig Otolaryngol"},{"issue":"1","key":"ref6","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1007\/s00464-017-5705-8","article-title":"Transoral endoscopic thyroidectomy vestibular approach (TOETVA) indications, techniques and results","volume":"32","author":"Anuwong A","year":"2018","journal-title":"Surg Endosc"},{"issue":"1","key":"ref7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1001\/jamasurg.2017.3366","article-title":"Safety and outcomes of the transoral endoscopic thyroidectomy vestibular approach","volume":"153","author":"Anuwong A","year":"2018","journal-title":"JAMA Surg"},{"issue":"1","key":"ref8","article-title":"The technique and variants of transoral endoscopic thyroidectomy by vestibular approach (Toetva) to reduce complications","volume":"46","author":"Gallardo-Molina N","year":"2019","journal-title":"Rev Col Bras Cir"},{"issue":"12","key":"ref9","doi-asserted-by":"crossref","first-page":"1526","DOI":"10.1089\/lap.2019.0537","article-title":"Transoral endoscopic thyroidectomy by vestibular approach - Initial experience and comparative analysis in the first reported Mexican cohort","volume":"29","author":"P\u00e9rez-Soto RH","year":"2019","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"7","key":"ref10","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1089\/thy.2017.0642","article-title":"Transoral thyroid and parathyroid surgery vestibular approach a framework for assessment and safe exploration","volume":"28","author":"Russell JO","year":"2018","journal-title":"Thyroid"},{"issue":"4","key":"ref11","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1016\/j.beem.2019.05.004","article-title":"Indications, benefits and risks of transoral thyroidectomy","volume":"33","author":"Zhang D","year":"2019","journal-title":"Best Pract Res Clin Endocrinol Metab"},{"key":"ref12","series-title":"Sabiston. Tratado de cirurgia: A base biol\u00f3gica da pr\u00e1tica cir\u00fargica moderna","author":"Towsend Junior CM","year":"2014","edition":"19"},{"issue":"1","key":"ref13","doi-asserted-by":"crossref","first-page":"e68","DOI":"10.18295\/squmj.2019.19.01.013","article-title":"Transoral Endoscopic Thyroidectomy via Vestibular Approach A Series of the First Ten Cases in Iraq","volume":"19","author":"Kadem G","year":"2019","journal-title":"Sultan Qaboos Univ Med J"},{"issue":"7","key":"ref14","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1007\/s40618-017-0808-6","article-title":"Transoral thyroidectomy a viable surgical option with unprecedented complications-a case series","volume":"41","author":"Bakkar S","year":"2017","journal-title":"J Endocrinol Invest"},{"issue":"12","key":"ref15","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1089\/lap.2016.0291","article-title":"Implementation of Intraoperative Neuromonitoring for Transoral Endoscopic Thyroid Surgery A Preliminary Report","volume":"26","author":"Wang Y","year":"2016","journal-title":"J Laparoendosc Adv Surg Tech A"}],"container-title":["Revista do Col\u00e9gio Brasileiro de Cirurgi\u00f5es"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/rcbc\/v48\/0100-6991-rcbc-48-e20202557.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,29]],"date-time":"2021-01-29T12:04:15Z","timestamp":1611921855000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-69912021000100303&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":15,"alternative-id":["S0100-69912021000100303"],"URL":"https:\/\/doi.org\/10.1590\/0100-6991e-20202557","relation":{},"ISSN":["1809-4546","0100-6991"],"issn-type":[{"value":"1809-4546","type":"electronic"},{"value":"0100-6991","type":"print"}],"subject":[],"published":{"date-parts":[[2021]]},"article-number":"e20202557"}}