Primeira experiência de tireoidectomia endoscópica transoral por acesso vestibular (TOETVA) no Hospital Universitário Walter Cantídio: relato de dois casos

Abstract

Objectives: Our main objective is to report the initial experience with endoscopic transoral vestibular approach thyroidectomy (TOETVA) at the Walter Cantídio University Hospital - UFC. Methodology: We report the cases of two patients undergoing TOETVA at the Head and Neck Surgery Service of the Walter Cantídio University Hospital-UFC. The patients were aged 40 and 31 years, ASA I , with single thyroid nodules measuring 3.9 cm and 2.1 cm, respectively. Patient data, cytology, complications, surgical time, postoperative symptoms and length of hospital stay were recorded. Results: Two female patients underwent partial thyroidectomy in May 2019. Their respective ages were 39 and 31 years. The cytology reports regarding previous thin needle aspiration biopsy revealed Bethesda scores of II and IV, respectively. The final histopathological result confirmed benignity. Both patients complained of postoperative low-intensity pain and hypoesthesia. The hospitalization of both patients lasted two days. Conclusions: TOETVA is a relatively new, yet safe and effective, surgical technique with excellent aesthetic results. It is an excellent treatment possibility for selected patients.