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
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- EP ID EP545904
- DOI 10.17140/OTLOJ-3-141
- Views 188
- Downloads 0
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