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Special Considerations: Obesity, Reoperation to Transoral Endocrine, and Neck Surgery

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Transoral Neck Surgery

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Abstract

Transoral endoscopic thyroidectomy vestibular approach (TOETVA) has been employed as one surgical modality approach for multiple thyroid and parathyroid disease conditions with good results. The indication and patient selection is extended by the experience of surgeon, especially when considering including obesity patient and reoperation. With such special consideration, the surgeon must know the impact of body composition on the operation, consequences of previous neck surgery, and anesthetic consideration that affect the surgery. Many aspects of obesity have many influences on the outcome of surgery form preoperative/perioperative and postoperative care which will be discussed in detail. Reoperation is challenging due to the quality of the tissue and anatomy variation due to postoperative early fibrosis. The properly trained surgeon should be facile with the approach, know when is the right time to do the reoperation, and also understand specific consideration about how to perform reoperative TOETVA.

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Acknowledgment

We would like to express our gratitude to Raksit Kituncharoen, M.D., and Thanadeth Vongjarukorn, M.D., for their excellent illustrations that greatly improved this manuscript.

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Authors and Affiliations

  1. Minimally Invasive and Endocrine Surgery Division, Department of Surgery, Police General Hospital, Bangkok, Thailand

    Pornpeera Jitpratoom, Thanyawat Sasanakietkul, Isariya Jongekkasit & Angkoon Anuwong

  2. Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Rohit Ranganath

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  1. Pornpeera Jitpratoom
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  2. Thanyawat Sasanakietkul
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  3. Isariya Jongekkasit
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  4. Rohit Ranganath
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  5. Angkoon Anuwong
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Editor information

Editors and Affiliations

  1. Otolaryngology – Head and Neck Surgery, Johns Hopkins Medicine Otolaryngology – Head and Neck Surgery, Baltimore, MD, USA

    Jonathon O. Russell

  2. Department of Surgery, University of Kentucky, Lexington, KY, USA

    William B. Inabnet III

  3. Otolaryngology – Head and Neck Surgery, Johns Hopkins Medicine Otolaryngology – Head and Neck Surgery, Baltimore, MD, USA

    Ralph P. Tufano

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Jitpratoom, P., Sasanakietkul, T., Jongekkasit, I., Ranganath, R., Anuwong, A. (2020). Special Considerations: Obesity, Reoperation to Transoral Endocrine, and Neck Surgery. In: Russell, J., Inabnet III, W., Tufano, R. (eds) Transoral Neck Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-30722-6_14

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  • DOI: https://doi.org/10.1007/978-3-030-30722-6_14

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  • Online ISBN: 978-3-030-30722-6

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