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.