Assisted-Endoscopic Submandibular Gland Resection Using Lateral Oral Vestibule Approach
Journal Title: Otolaryngology – Open Journal - Year 2017, Vol 3, Issue 3
Abstract
Transoral approach using the floor of the mouth to resect submandibular gland has been in practice since a long time; however, the clinical application of the vestibular approach is a relatively novel approach. As per my knowledge, the vestibular approach has only been implemented to resect the thyroid gland , with the clinical application of transoral transvestibular endoscopic approach in the surgical removal of the thyroid gland being reported for the first time by Wilhelm et al.1 Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is currently in use in various institutions. TOETVA has been proposed, introduced and clinically performed in various countries including South Korea, Thailand, India, China, Taiwan, Singapore, USA, Mexico, Japan, Ecuador and Italy.1-4 We present our opinion on the clinical ocedure of TOETVA. The surgical procedure is carried out using a three-port technique at the oral vestibule, by placing one 10-mm port for a 30° endoscope and two additional 5-mm ports for the dissecting and coagulating instruments. CO2 insufflations pressure is maintained at 6 mmHg. An anterior cervical sub-platisma space is created from the oral vestibule down to the sternal notch, lateral to the sternocleido muscles. Thyroidectomy is performed endoscopically using conventional endoscopic instruments and intraoperative neuromonitoring (IONM).2
Authors and Affiliations
Omar Ramadan
Keywords
Related Articles
- EP ID EP545904
- DOI 10.17140/OTLOJ-3-141
- Views 191
- Downloads 0
Importance of Keros Classification in Surgery
Objective: The relationship between the cribriform plate and the uncinate process may be elaborated with the help of the Keros classification. The observations were analysed using high-resolution computed tomography (HRC...
The First Case of Endoscopic Transnasal Removal of an Ectopic Molar Tooth from the Pterygomaxillary Fossa: A Low Morbidity Approach
Ectopic teeth erupted in the maxillary sinus (MS) or Pterygomaxillary Fossa (PF) are rarely reported. Though often asymptomatic, patients with ectopic teeth in the MS or PF may suffer from facial pain/numbness, purulent...
Temporal Modulation Transfer Function (TMTF) in Individuals With Diabetes Mellitus Type 2
Introduction: Diabetes mellitus is a collection of metabolic disorders characterized by elevated blood sugar and abnormalities in insulin secretion and action. Previous studies have shown the link between hearing impairm...
Relationship Between Serum Vitamin D Levels and Childhood Recurrent Tonsillitis
Background: Many factors are associated with the development of recurrent tonsillitis. These include patient incompliance, premature cessation of antibiotherapy, inadequate antibiotic absorbance, bacterial tolerance, bac...
Shape from Shading and Optical Flow Used for 3-Dimensional Reconstruction of Endoscope Image
Recent year’s endoscopy is widely used in computer assisted surgeries. Three-Dimensional (3D) reconstruction has been presented due to the lack of depth information from endoscope images. One of the fundamental approache...