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ก้อนไทรอยด์

ก้อนไทรอยด์รักษาแบบไม่ผ่าตัด

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คลำเจอก้อนที่คอ

ผ่าตัดไทรอยด์

ผ่าตัดไทรอยด์ทางช่องปาก

ผ่าตัดไทรอยด์ส่องกล้อง

ผ่าตัดไทรอยด์ไร้แผล

ไทรอยด์

การผ่าตัดไทรอยด์ส่องกล้องทางช่องปากไร้แผล ด้วยเทคนิค TOETVA ทางเลือกใหม่เพื่อสร้างความมั่นใจ

Thyroidectomy is the main treatment approach for those with thyroid gland abnormalities such as nodules, cysts, or thyroid cancer. In the past, surgery required an incision in the neck area, which could leave a visible scar and affect confidence, especially in women or those who rely on their appearance for work.
&nbsp;
Currently, surgical technology has advanced significantly, leading to the development of the Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA), which allows thyroid surgery to be performed without any skin incisions on the neck.
&nbsp;
<h2>Getting to Know the Thyroid Gland</h2>
The thyroid gland is a butterfly-shaped endocrine gland located at the front of the neck. It functions to produce hormones that regulate
&nbsp;
<ul>
<li>the body&#8217;s energy metabolism</li>
<li>body temperature</li>
<li>heart function</li>
<li>growth and development</li>
</ul>
&nbsp;
If the thyroid gland has abnormalities such as nodules, tumors, hyperthyroidism, or cancer, treatment may involve medication, radioactive iodine therapy, or surgery, depending on the type and stage of the disease.
&nbsp;
<h2>What is Thyroidectomy?</h2>
Thyroidectomy is the standard treatment for patients with the following conditions:
&nbsp;
<ul>
<li>Thyroid nodules suspected of cancer or causing compressive symptoms</li>
<li>Toxic goiter unresponsive to medication</li>
<li>Early-stage thyroid cancer</li>
<li>Large nodules affecting swallowing or breathing</li>
</ul>
&nbsp;
Generally, surgery may involve partial removal (lobectomy) or total removal (total thyroidectomy) depending on the physician&#8217;s diagnosis. In the past, surgery required an incision about 5–7 centimeters long on the front of the neck. Although this is a safe standard procedure, it still leaves a visible scar.
&nbsp;
<h2>What is TOETVA (Transoral Endoscopic Thyroidectomy Vestibular Approach)?</h2>
TOETVA is an endoscopic surgical technique performed through the mouth. The surgeon makes three small incisions inside the lower lip (vestibule) and inserts a camera and surgical instruments to reach the thyroid gland.
&nbsp;
The surgery is performed under general anesthesia with a high-definition image magnification system on a monitor, allowing the surgeon to clearly see important structures such as:
&nbsp;
<ul>
<li>The nerves controlling the voice</li>
<li>The parathyroid glands that regulate calcium levels</li>
<li>Major blood vessels in the neck</li>
</ul>
&nbsp;
Since all incisions are inside the mouth, there is no visible scar on the neck skin after surgery.
&nbsp;
<h2>Advantages of Transoral Endoscopic Thyroidectomy (TOETVA)</h2>
<ul>
<li>No neck scars – incisions are hidden inside the mouth, enhancing confidence in appearance</li>
<li>Minimal tissue damage – small, precisely controlled instruments</li>
<li>Less pain and faster recovery – most patients stay in the hospital for about 1–2 days</li>
<li>Clear visualization of important structures – reduces risk of complications such as permanent hoarseness or low calcium levels</li>
<li>Good postoperative quality of life – normal swallowing and speaking once the internal wounds heal</li>
</ul>
&nbsp;
<h2>Who is Suitable for TOETVA Surgery?</h2>
Transoral surgery may be suitable for patients with the following criteria:
&nbsp;
<ul>
<li>Thyroid nodules no larger than approximately 5–6 centimeters</li>
<li>Early-stage thyroid cancer without spread</li>
<li>Need for partial or total thyroid removal</li>
<li>No previous neck surgery</li>
<li>No infections or severe diseases in the oral cavity</li>
</ul>
&nbsp;
However, this technique may not be suitable for some patients, such as those with very large nodules or multiple lymph node metastases. Therefore, evaluation by a specialized surgeon is an important step.
&nbsp;
<h2>Preoperative and Postoperative Preparation</h2>
Before surgery, the doctor will perform a physical examination, blood tests, ultrasound, and possibly a biopsy to confirm the diagnosis. After surgery, patients will be monitored for
&nbsp;
<ul>
<li>Hoarseness symptoms</li>
<li>Calcium level monitoring</li>
<li>Thyroid hormone medication (in cases of total thyroid removal)</li>
<li>Oral hygiene care</li>
</ul>
&nbsp;
The doctor will schedule follow-up visits to assess treatment outcomes and prevent recurrence in cases of cancer.
&nbsp;
Thyroid surgery is not only about curing the disease but also about long-term quality of life and confidence. TOETVA technology offers an effective treatment option combined with aesthetic care without neck scars.
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At Phyathai 2 Hospital, thyroid disease care is provided by a team of specialized thyroid surgeons in collaboration with a multidisciplinary team, using internationally standardized endoscopic surgical technology. Each patient is thoroughly evaluated to select the most appropriate treatment approach, considering both medical outcomes and postoperative quality of life.
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If you find a lump in your neck or have been diagnosed with a thyroid abnormality, consulting a specialist early will help you confidently plan your treatment. At Phyathai 2 Hospital, we are ready to care for you throughout every step of your comprehensive treatment with attention to every detail.
&nbsp;
Dr. Angkun Anuwong 
Specialist in Endoscopic Surgery
Phyathai 2 Hospital

Endoscopic thyroidectomy through the mouth (TOETVA) is a scarless neck surgery technique that effectively treats thyroid nodules and cancer, resulting in faster recovery and minimal scarring. It is suitable for those seeking both effective treatment and increased self-confidence.

Scarless endoscopic thyroidectomy through the mouth using the TOETVA technique: a new option to boost confidence.

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Scarless endoscopic thyroidectomy through the mouth using the TOETVA technique: a new option to boost confidence.

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