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Transoral Neck Surgery pp 145–157Cite as

Benign Nodules and Goiters

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Abstract

The transoral thyroidectomy approach has provided a cosmetically appealing approach to the thyroid gland due to the scarless nature of the procedure. This technique, whether done by the robotic or endoscopic vestibular approach, has been shown to be both effective and safe. Its use has been extended to include excision of thyroid tissue for nodules and goiters. Following workup and confirmation that the nodule or goiter is benign, the lesion is excised, given there are local compressive symptoms, or the patient wishes to have surgery. Once surgery is chosen for the patient’s thyroid nodule or goiter, utilization of the transoral approach is dependent on whether or not they have favorable features to decide whether the technique is feasible. Candidacy is individualized and dependent on the patient’s and pathology-specific characteristics. There are overlapping complications between the open and transoral approaches. Specific to the transoral technique is a never before seen complication – transient mental nerve injury. The transoral thyroidectomy technique offers an alternative to the open technique, one that is safe as well as cosmetically pleasing. This chapter summarizes up-to-date information on benign thyroid nodules and goiters with respect to the indicated application of the transoral approach.

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Author information

Authors and Affiliations

  1. Division of Metabolic, Endocrine and Minimally Invasive Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Gustavo G. Fernandez Ranvier

  2. Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Aryan Meknat

  3. Department of Surgery, Mount Sinai Beth Israel, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Hyunsuk Suh

Authors
  1. Gustavo G. Fernandez Ranvier
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  2. Aryan Meknat
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  3. Hyunsuk Suh
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Corresponding author

Correspondence to Gustavo G. Fernandez Ranvier .

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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Fernandez Ranvier, G.G., Meknat, A., Suh, H. (2020). Benign Nodules and Goiters. In: Russell, J., Inabnet III, W., Tufano, R. (eds) Transoral Neck Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-30722-6_9

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  • DOI: https://doi.org/10.1007/978-3-030-30722-6_9

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-030-30722-6

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