Our Summary

This research paper discusses a new technique for thyroid surgery that is less invasive and doesn’t leave a visible scar on the neck. The method, known as TOETVA, is gaining popularity as patients are becoming more conscious about the cosmetic results of surgery. The authors share their first experience using this technique in Pakistan, suggesting that it’s safe, practical, and effective. Patients reported high satisfaction and there were minimal surgical complications.

FAQs

  1. What is the new technique for thyroid surgery that doesn’t leave a visible scar?
  2. How safe and effective is the TOETVA method for thyroid surgery?
  3. What were the patients’ responses to the TOETVA method used in the study conducted in Pakistan?

Doctor’s Tip

One helpful tip a doctor might tell a patient about thyroidectomy is to follow post-operative care instructions carefully, including taking prescribed medications, attending follow-up appointments, and avoiding strenuous activities that could strain the neck muscles. It’s also important to monitor for any signs of infection or complications, such as difficulty swallowing, excessive swelling, or changes in voice quality, and to contact your healthcare provider if any concerns arise. Additionally, maintaining a healthy diet and regular exercise routine can help support overall recovery and thyroid function.

Suitable For

Patients who are typically recommended for thyroidectomy include those with:

  1. Thyroid cancer
  2. Large or symptomatic thyroid nodules
  3. Graves’ disease
  4. Thyroid nodules that are causing compression of nearby structures
  5. Thyroid nodules that are suspicious for cancer on biopsy
  6. Recurrent thyroid nodules
  7. Hyperthyroidism that is not controlled with medication
  8. Thyroiditis
  9. Multiple thyroid nodules

It is important for patients to consult with their healthcare provider to determine if thyroidectomy is the best course of action for their specific condition.

Timeline

Before thyroidectomy:

  • Patient consults with their healthcare provider and discusses symptoms and treatment options
  • Patient undergoes pre-operative tests and evaluations to ensure they are a good candidate for surgery
  • Patient receives instructions on how to prepare for surgery, such as fasting before the procedure
  • Surgery is performed under general anesthesia, typically lasting 1-2 hours
  • Patient may stay in the hospital for observation and pain management for a day or two

After thyroidectomy:

  • Patient may experience some pain, swelling, and difficulty swallowing in the days following surgery
  • Patient will be prescribed pain medication and instructed on how to care for their incision site
  • Patient may need to take thyroid hormone replacement medication for the rest of their life
  • Patient will have follow-up appointments with their healthcare provider to monitor their thyroid hormone levels and overall health
  • Over time, the patient’s symptoms of thyroid disease should improve and they should experience a better quality of life without the symptoms of an overactive or underactive thyroid.

What to Ask Your Doctor

  1. What are the risks and benefits of undergoing a thyroidectomy using the TOETVA technique compared to traditional thyroid surgery methods?
  2. How experienced is the surgeon in performing TOETVA thyroidectomies, and what is their success rate with this technique?
  3. What is the recovery process like after a TOETVA thyroidectomy, and how long can I expect to be in the hospital?
  4. Will I still need to take thyroid medication after the surgery, and how will my thyroid function be monitored post-operation?
  5. Are there any potential complications specific to the TOETVA technique that I should be aware of?
  6. How soon can I expect to see the cosmetic results of the surgery, and are there any long-term effects on the appearance of my neck?
  7. Will I have any restrictions on physical activity or diet following a TOETVA thyroidectomy?
  8. What follow-up appointments will be necessary after the surgery, and how often will I need to have my thyroid function checked?
  9. Are there any alternative treatment options to consider before deciding on a thyroidectomy using the TOETVA technique?
  10. How likely is it that I will need additional thyroid surgery in the future after undergoing a TOETVA thyroidectomy?

Reference

Authors: Ahmad AN, Zakir I, Pasha HA. Journal: J Pak Med Assoc. 2023 Jun`;73(6):1288-1290. doi: 10.47391/JPMA.6639. PMID: 37427632