Critical View of Safety: Anatomical Key to Avoid Injury to the Recurrent Laryngeal Nerve in Transoral Endoscopic Thyroidectomy

RESULTS

This retrospective study was conducted from January 2022 to October 2023 in the endocrine surgery unit of a tertiary teaching hospital in Central India. Institutional ethics committee approval was obtained before starting the study, and written informed consent was obtained from all patients.

A total of 36 patients underwent TOETVA without IONM. All patients (two males, 34 females with a median age of 32years; age range 22-47years) had benign nodules with a mean size of 4.2cm +/−1.8cm and underwent hemithyroidectomy. CVS allowed the visual identification of RLN in all patients. All patients underwent standard laryngoscopy after 48hours for assessment of vocal cord function, and none had RLN palsy.