Evaluation of Endoscopic Trans-oral Approach in Thyroidectomy

Teamma, Mohamed Sobhy; El Sheikh, Abd El Fatah Tawfik; Abd El Gelil, Mohamed Adel; Sharaf, Ahmed El Saeed Hosny

doi:/10.21608/aimj.2025.446464

Evaluation of Endoscopic Trans-oral Approach in Thyroidectomy

Document Type : Original Article

Authors

¹ General Surgery, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

² Surgical Oncology, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

/10.21608/aimj.2025.446464

Abstract

Background: Although young women are more likely to suffer from thyroid dysfunction, the number of cases among men is on the rise as well. Endoscopic thyroidectomy procedures have evolved over the years to circumvent the scarring that is commonly associated with traditional thyroidectomy.
Aim and objectives: To assess the effectiveness of endoscopic thyroidectomy (ET) in treating benign thyroid tumors by sorting patients' surgical outcomes by feasibility and safety as measured by the vestibular method.
Patients and methods: This prospective randomized study was conducted on 10-patients with benign thyroid tumours recruited from Surgical Oncology Clinic and Department at Said Galal University Hospital, Al-Azhar University from May 2023 to September 2024 prior to surgery, following approval by the relevant ethical and review boards, and with the patient's signed informed permission.
Results: Regarding the complications, 1(10%) patient converted to an open surgical procedure, 4(40%) patients experienced skin bruising, 3(30%) patients developed edema, and 1(10%) patient experienced surgical emphysema. No patients experienced recurrent laryngeal nerve injury, surgical site infection, hypocalcemia, mental nerve injury, CO2 embolism, bleeding, skin burn, or skin perforations.
Conclusion: The study indicates a predominantly female population with a mean age of 38.9 years presenting with thyroid-related symptoms. Most patients exhibited benign thyroid function test results and minimal complications following surgery. The operative time and hospital stay were within reasonable limits, suggesting a safe surgical approach. High rates of cosmetic satisfaction, with 80% of patients reporting good outcomes.

Keywords