Publication:
A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial

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Issued Date

2021

Resource Type

Article

Language

eng

File Type

application/pdf

ISSN

9374477

DOI

10.1007/s00405-021-06639-2

Other identifier(s)

2-s2.0-85100486089

Rights Holder(s)

Scopus

Bibliographic Citation

European Archives of Oto-Rhino-Laryngology. Vol 278, No.10 (2021), p.4043-4049

Suggested Citation

Wongwattana P., Laoveerakul P., Santeerapharp A. A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial. European Archives of Oto-Rhino-Laryngology. Vol 278, No.10 (2021), p.4043-4049. doi:10.1007/s00405-021-06639-2 Retrieved from: https://hdl.handle.net/20.500.14740/8194

Title

A comparison of efficacy and quality of life between transoral endoscopic thyroidectomy vestibular approach (TOETVA) and endoscopic thyroidectomy axillo-breast approach (ETABA) in thyroid surgery: non-randomized clinical trial

Author(s)

Wongwattana P.
 Laoveerakul P.
 Santeerapharp A.

Abstract

Purpose: Recently, there are many new surgical methods of endoscopic thyroidectomy, which have advantages in cosmetic results while do not increase the complication rates. This study was conducted to evaluate and compare both intra- and post-operative results and quality of life between TOETVA and endoscopic thyroidectomy axillo-breast approach (ETABA). Materials and methods: A non-randomized, patient preference clinical trial was performed in Otorhinolaryngology, Head and Neck surgery department, HRH Princess Maha Chakri Sirindhorn Medical center. Patients who decided to go for endoscopic thyroidectomy were allocated into two groups. Demographics data, operative time, intra-operative blood loss, post-operative pain score, length of hospital stay, complications were collected. Overall satisfaction was evaluated by visual analogue scale and quality of life was evaluated by SF-36 questionnaires. Results: 22 patients were totally included and equally allocated in 2 groups (11 patients per group). All of the operations were lobectomy. There was no significant difference in demographic data. The results showed that pain score at 3 days post-operation and average pain score were significantly higher in TOETVA group. Average pain score was 3.67 ± 1.11 in ETABA group and 5.15 ± 1.35 in TOETVA (p = 0.011); however, the operative time, intra-operative blood loss, length of hospital stay, complications and overall satisfaction were not significantly different. Different change in the quality of life was not detected in both groups. Conclusion: Transoral endoscopic thyroidectomy vestibular approach and ETABA both have comparable results and do not worsen the quality of life. © 2021, The Author(s), under exclusive licence to Springer-Verlag GmbH, DE part of Springer Nature.

Subject(s)

Adult
 Article
 Clinical article
 Comparative effectiveness
 Controlled study
 Demography
 Endoscopic thyroidectomy axillo breast approach
 Endoscopic thyroidectomy vestibular approach
 Female
 Human
 Length of stay
 Lobectomy
 Operation duration
 Operative blood loss
 Pain assessment
 Patient preference
 Patient satisfaction
 Peroperative care
 Postoperative care
 Postoperative complication
 Quality of life
 Quality of life assessment
 Short Form 36
 Thyroid surgery
 Visual analog scale
 Adverse event
 Clinical trial
 Endoscopy
 Parathyroid gland
 Thyroid gland
 Thyroid tumor
 Thyroidectomy
 Endoscopy
 Humans
 Operative Time
 Parathyroid Glands
 Quality of Life
 Thyroid Gland
 Thyroid Neoplasms
 Thyroidectomy

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URI

https://hdl.handle.net/20.500.14740/8194

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Scopus: Year 1983-2021

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