Abstract
This paper highlights the key anatomical considerations for the surgeon to appreciate in order to carry out a safe and effective transoral vestibular approach to the central neck for thyroid and parathyroid dissection. The transoral, vestibular approach for thyroidectomy and parathyroidectomy avoids external, visible scarring altogether. This approach requires additional understanding of intraoral and cervical anatomy from an altered viewpoint compared with open central neck surgery as the surgeon creates a working space from the mouth to the neck and views the thyroid and parathyroid glands from a superior to-inferior position.
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