Status:

UNKNOWN

The Safety and Feasibility of Transoral Endoscopic Thyroidectomy Vestibular Approach

Lead Sponsor:

University Health Network, Toronto

Conditions:

Thyroid Diseases

Surgery

Eligibility:

All Genders

18-80 years

Phase:

PHASE1

Brief Summary

This is a single center, prospective case series designed to assess the safety and feasibility of TOETVA in a small cohort of patients at University Health Network Toronto. Included patients will unde...

Detailed Description

Type of Study This is a single center, prospective case series Sample Size Since this is a feasibility study we will first include 15 patients. If we find the TOETVA a safe and feasible approach, we ...

Eligibility Criteria

Inclusion

  • \- Patients needing surgery for: Benign or indeterminate nodule less than 6 cm in size or; T1 well differentiated papillary carcinoma less than 2 cm in size or; Well-controlled Grave's disease or; Parathyroid adenoma.
  • Total thyroid size is 7-8 cm (no more than 10 cm)
  • Their age is ≥18 years and ≤80 years
  • Able to give written consent

Exclusion

  • \- History of neck surgery or neck radiotherapy
  • Recurrent thyroid disease
  • Lymph node metastases
  • Presence of intraoral infections
  • Presence of extrathyroidal or substernal extensions
  • Smoking
  • Morbid obesity
  • Contra-indication to general anesthesia with nasotracheal intubation
  • Previous mediastinal surgery
  • Any anatomical anomaly that in the opinion of the investigator may render the intervention more difficult (ex. variations in the structure of the platysmas muscle)
  • Any medical condition, which in the judgment of the investigator and/or designee makes the subject a poor candidate for the investigational procedure

Key Trial Info

Start Date :

December 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

July 1 2022

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT04842942

Start Date

December 1 2019

End Date

July 1 2022

Last Update

April 13 2021

Active Locations (1)

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1

Univeristy Health Network

Toronto, Ontario, Canada, M5G2C4