Anatomical research progress of transoral endoscopic thyroidectomy vestibular approach
- VernacularTitle:经口腔前庭入路腔镜甲状腺手术的解剖学研究进展
- Author:
Yi-ming SUN
1
;
Qiu-dong AN
1
;
Feng WU
1
;
Chang-jun XIA
1
;
Song WANG
1
Author Information
- Publication Type:Journal Article
- Keywords: transoral endoscopic thyroidectomy vestibular approach; complication; mental nerve; anatomy research
- From: Journal of Regional Anatomy and Operative Surgery 2025;34(8):740-743
- CountryChina
- Language:Chinese
- Abstract: Transoral endoscopic thyroidectomy vestibular approach(TOETVA)has become a research hotspot because of its cosmetic advantages of no scar on the body surface,but there is still a risk of unique complications,among which mandibular sensory dysfunction is the most common,mainly related to mental nerve injury.This review focuses on the key anatomical structures closely related to the establishment of TOETVA space and the occurrence of complications.A deep understanding of the related anatomical structures of maxillofacial region and neck,especially the location and variation of mental nerve,the course of mandibular marginal branches of facial nerve,the level of mandibular muscles and the adjacent relationship of blood vessels,is the key to safely implement TOETVA and reduce postoperative complications.Preoperative image evaluation,intraoperative precise anatomy,following the design of safe area and improving the operation method in the future will contribute to the further promotion of this operation.
