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Archive November 2019 XX, No. 11

New Opportunities in ENT

Get up to speed on hot trends in thyroid, sinus and sleep apnea surgeries.

Joe Paone

Joe Paone


Category: Outpatient Surgery > ENT
Mount Sinai Beth Israel Hospital
HIDDEN EXIT Transoral thyroidectomy is a scarless surgery that allows the surgeon to remove the gland from behind the patient's lower lip.

We recently asked several forward-thinking ENT surgeons for insights on innovations that improve outcomes and enhance patient care. Removing the thyroid from inside the lower lip, maneuvering instruments along pre-planned virtual pathways during sinus surgery and freezing nerves to solve chronic sniffling were among the buzz-worthy developments that have them excited about their specialty’s future.

1. Transoral thyroidectomy

This “scarless” laparoscopic procedure lets surgeons remove the thyroid via a vestibular approach instead of open surgery. Jonathon Russell, MD, director of endoscopic and robotic thyroid and parathyroid surgery, and assistant professor of otolaryngology, at Johns Hopkins Medicine in Baltimore, Md., is one of the surgery’s pioneers. He says surgeons make a 1.5-cm incision in the gingival sulcus and 2 stab incisions at the oral commissure. They then tunnel down through the incisions, dissect around the thyroid and remove the gland through the central incision.

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