Erschienen in:
01.08.2011
Proof-of-Concept Study on the Endoscopic Minimally Invasive Thyroidectomy (eMIT) in Humans: A Realistic Assessment is Desired: Reply
verfasst von:
Thomas Wilhelm, Andreas Metzig
Erschienen in:
World Journal of Surgery
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Ausgabe 8/2011
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Excerpt
The innovative idea of a three-point transoral endoscopic approach to the anterior neck region, specifically the thyroid gland, was extensively discussed in published anatomic studies [
1]. On this basis, regions providing a safe access route, without the risk of collateral damage to neural or vascular structures, have been identified. In the first attempts to reach the target area, a totally sublingual access route through the floor of the mouth was evaluated and finally abandoned owing to the lack of triangulation and the imminent risk to anatomic structures in the submandibular groove [
1]. The first author of this reply then had the idea of changing the incision sites from the floor of the mouth to the oral vestibulum. Through this transoral access, an approach to the thyroid on an endoscopic basis was successfully performed for the first time in an anatomic experiment [
2]. …
