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. 2020 Apr;9(2):409–416. doi: 10.21037/gs.2020.03.05

Table 1. Johns Hopkins’ TOETVA inclusion and exclusion criteria.

Inclusion Exclusion
History of hypertrophic scarring or motivation to avoid an anterior cervical incision Poorly differentiated cancer or anaplastic. Involvement of central neck, lateral neck, or extrathyroidal disease extension
Thyroid diameter ≤10 cm or thyroid volume ≤45 mL Unable to tolerate anesthesia or patient unfit for surgery
If benign/indeterminate nodule, ≤6 cm or dominant nodule ≤2 cm if Bethesda V/suspicious or confirmed differentiated thyroid cancer Preoperative RLN paresis
Substernal goiter, grade 1 or Graves’ disease that is controlled with medical management Prior trans-cervical neck surgery
Oral abscess

TOETVA, transoral endoscopic thyroidectomy vestibular approach.