Transoral Approach
Transoral Approach - Related Videos
04:04
Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
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2025
Here, we present a protocol to resect benign infratemporal fossa tumors via an endoscopic-assisted transoral lateral molar approach with low-temperature plasma ablation and intraoperative mandibular nerve monitoring. This minimally invasive technique prioritizes anatomical preservation, functional recovery, and avoidance of external scarring, demonstrating feasibility for well-demarcated lesions ≤4 cm in diameter.
05:12
Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
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Cited by 1 •
2023
Here, we present a protocol to describe the methodology for the transoral endoscopic thyroidectomy vestibular approach in detail.
05:25
Identification and Protection of the Recurrent Laryngeal Nerve during Transoral Robotic Thyroidectomy
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2025
The aim of this article is to present a method for identifying and protecting the recurrent laryngeal nerve during robotic thyroidectomy through the oral vestibular approach in the absence of the laryngeal nerve monitor.
01:20
Frustration and Conflict: Approach-Approach, Approach-Avoidance
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2025
Frustration occurs when people are obstructed or prevented from achieving a desired goal or fulfilling a perceived need. For example, when someone's input is ignored in a discussion, it can lead to feelings of frustration. Conflict, however, arises from opposing interests, goals, or actions. Conflicts can take various forms based on the nature of these opposing desires or goals. One common type of conflict is the Approach–Approach Conflict. In this case, a person faces two desirable options,...
05:21
General Approach to the Physical Exam
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2023
Source: Jaideep S. Talwalkar, MD, Internal Medicine and Pediatrics, Yale School of Medicine, New Haven, CT The examination of the body is fundamental to the practice of medicine. Since the Roman Empire, physicians have described the connection between alterations in function of specific parts of the body and specific disease states and have sought to further scientific understanding to improve bedside diagnosis. However, in this modern age of increasing technology within medical diagnostics, it...
FAQs
Endoscopes and robotic systems help clinicians navigate the oral cavity and maintain a view of structures beyond it. Their value is especially important when the working space is restricted, because visualization must support precise instrument placement while limiting contact with the mouth and pharyngeal tissues. This directly affects how safely the intended target can be reached.
Because access occurs through the mouth and may extend toward the throat or upper airway, anesthesia and airway protection must be planned alongside the surgical approach. These measures help clinicians manage the airway while instruments occupy the oral cavity. Their coordination is therefore a core safety consideration rather than a separate preparation step.
Patient selection depends on whether the intended anatomical target can be reached through the available oral and pharyngeal working space. Clinicians must balance the potential benefit of avoiding or reducing external incisions against restricted access and possible injury to oral or pharyngeal structures. The required expertise and procedure-specific conditions also influence this decision.
Planning identifies the target structure, determines whether the oral route provides adequate access, and selects suitable instruments, an endoscope, or a robotic system. The clinical team also coordinates anesthesia, airway protection, and infection control before proceeding. These elements must work together because visualization, access, and safety are closely linked in the confined operative field.
Applications may involve targets in the throat, upper airway, cervical spine, or nearby tissues. The appropriate route depends on the location of the structure and whether the available working space permits safe navigation. This range makes the technique relevant to several medical and surgical procedures, while still requiring procedure-specific planning and experienced operators.
Avoiding or reducing external incisions can lessen visible scarring and may support faster recovery, depending on the procedure. However, the same route creates challenges from limited working space and possible injury to oral or pharyngeal structures. Clinicians therefore weigh cosmetic and recovery advantages against access limitations, tissue risks, and the need for specialized expertise.