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1. Introduction
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a. Discussion of Instruments
2. Patient Preparation
3. Exposure
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a. Create 10 mm Incision
b. Subplatysmal Dissection Towards Sternal Notch
c. Create Two 5 mm Incisions
d. Placement of Ports
e. Placement of Stay Suture
4. Creation of Subplatysmal Flap
5. Division of Strap Muscles
6. Preparation of Pre-tracheal Tissue
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a. Identify Trachea
b. Mobilize Pyramidal Lobe
c. Divide and Mobilize Isthmus
7. Mobilization of Left Lobe
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a. Insert Lateral Retracting Suture
b. Upper Pole Mobilization
8. Identification and Preservation of Superior and Inferior Left Parathyroids
9. Identify Inferior Thyroid Artery
10. Recurrent Laryngeal Nerve Identification
11. Division of the Ligament of Berry
12. Specimen Extraction
13. Closure
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a. Final Check for Hemostasis and Summary
b. Closure of Strap Muscles
c. Suture Oral Incision
14. Post-op Remarks
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Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Courtney Gibson, MD, MS, FACS
;
Tobias Carling, MD, PhD, FACS
Yale School of Medicine
Tags:
General Surgery
Otolaryngology
Main Text
Procedure Outline
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Authors
Tobias Carling, MD, PhD, FACS
Courtney Gibson, MD, MS, FACS
Filmed At:
Smilow Cancer Hospital at Yale New Haven
Article Information
Publication Date
N/A
Article ID
243
Production ID
0243
Volume
N/A
Issue
243
DOI
https://doi.org/10.24296/jomi/243