Background: The transoral endoscopic thyroidectomy via vestibular approach (TOETVA) is a scarless technique with all incisions hidden within the oral vestibule. However, removal of larger specimens via the middle vestibular incision is challenging, with risks of specimen rupture, chin pain, and wound complications. A hybrid transoral and submental technique (TOaST) for thyroidectomy can obviate these limitations.
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Woods et al. (2024) studied this question.
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