<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2790-8305</journal-id>
<journal-title><![CDATA[Revista Científica CMDLT]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cien CMDLT]]></abbrev-journal-title>
<issn>2790-8305</issn>
<publisher>
<publisher-name><![CDATA[Centro Médico Docente La Trinidad]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2790-83052023000100602</article-id>
<article-id pub-id-type="doi">10.55361/cmdlt.v17i1.331</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[TOETVA (Tiroidectomía endoscópica transoral por abordaje vestibular) y TOEPVA (Paratiroidectomía endoscópica transoral por abordaje vestibular): Primeros casos en Venezuela]]></article-title>
<article-title xml:lang="en"><![CDATA[TOETVA (Transoral Endoscopic Thyroidectomy by Vestibular Approach) and TOEPVA (Transoral Endoscopic Parathyroidectomy by Vestibular Approach): First cases in Venezuela]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mijares Briñez]]></surname>
<given-names><![CDATA[Alirio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suarez]]></surname>
<given-names><![CDATA[Carmen María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Franco]]></surname>
<given-names><![CDATA[Alexandra]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Roa Guerrero]]></surname>
<given-names><![CDATA[María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Centro Médico Docente La Trinidad  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Centro Médico Docente La Trinidad  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Caracas  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,CMDLT  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,CMDLT  ]]></institution>
<addr-line><![CDATA[Caracas ]]></addr-line>
<country>Venezuela</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>1</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_arttext&amp;pid=S2790-83052023000100602&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_abstract&amp;pid=S2790-83052023000100602&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://ve.scielo.org/scielo.php?script=sci_pdf&amp;pid=S2790-83052023000100602&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La técnica quirúrgica abierta para la cirugía tiroidea fue descrita por Kocher en el siglo XIX y se ha mantenido por más de 100 años. El abordaje vestibular endoscópico de la tiroidectomía y paratiroidectomía, es un enfoque novedoso que evita cicatriz en el cuello y ofrece resultados curativos favorables. Es aceptado como una alternativa a los abordajes cervicales abiertos tradicionales. El objetivo es presentar dos casos clínicos a los cuales se les realizo abordaje vestibular endoscópico en tiroidectomía y paratiroidectomía transoral.  Casos clínicos:  La primera fue una femenina de 42 años, con lesión entre tercio medio y polo inferior de lóbulo tiroideo derecho, cuya punción reporto carcinoma papilar tiroideo. El segundo caso fue una femenina de 66 años, que acudió con valor elevado de PTH (Parathormona: 205,91pg/ml), y gammagrama, que reportó adenoma paratiroideo, por lo que se planteó diagnóstico de hiperparatiroidismo primario. A ambas se planteó abordaje transoral vestibular endoscópico.  Conclusiones:  El abordaje vestibular de la tiroidectomía y paratiroidectomía endoscópica transoral, es factible, eficaz y seguro, ofreciendo además el mejor resultado cosmético hasta ahora conocido. TOETVA y TOEPVA, son cirugías desafiantes, con una curva de aprendizaje amplia y pronunciada, pero al ser realizada por cirujanos expertos, brinda inmensos beneficios para los pacientes desde el punto de vista curativo, estético y funcional, con ausencia de drenajes postquirúrgicos, mejor recuperación y menor lesión del nervio laríngeo recurrente por su mejor identificación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  The open surgical technique for thyroid surgery was described by Kocher in the XIX and has been maintained for more than 100 years. The endoscopic vestibular approach to thyroidectomy and parathyroidectomy is a novel approach that avoids scar on the neck and offers favorable healing results. It is accepted as an alternative to traditional open cervical approaches. The objective is to present two clinical cases to which endoscopic vestibular approach for thyroidectomy and transoral parathyroidectomy was performed.  Clinical cases:  The first was a 42-year-old female, with injury between middle third and lower pole of the right thyroid lobe, whose puncture reported thyroid papillary carcinoma. The second case was a 66 year old female, who went with high PTH value (parathormone: 205.91pg/ml), and gammagram, which reported paratyroid adenoma, so it was raised diagnosis of primary hyperparathyroidism. Both were raised endoscopic vestibular transoral approach.  Conclusions:  The vestibular approach to transoral endoscopic thyroidectomy and parathyroidectomy is feasible, effective and safe, also offering the best known cosmetic result. Toetva and Toepva, are challenging surgeries, with a wide and pronounced learning curve, but when performed by expert surgeons, it provides immense benefits for patients from the healing, aesthetic and functional point of view, with the absence of post-surgical drainage, better recovery and less recurrent laryngeal nerve injury due to its best identification.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[paratiroidectomía]]></kwd>
<kwd lng="es"><![CDATA[endoscopía]]></kwd>
<kwd lng="es"><![CDATA[cicatriz]]></kwd>
<kwd lng="es"><![CDATA[neoplasias de la tiroides]]></kwd>
<kwd lng="es"><![CDATA[neoplasias de las paratiroides]]></kwd>
<kwd lng="en"><![CDATA[thyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[parathyroidectomy]]></kwd>
<kwd lng="en"><![CDATA[endoscopy]]></kwd>
<kwd lng="en"><![CDATA[cicatriz]]></kwd>
<kwd lng="en"><![CDATA[thyroid neoplasms]]></kwd>
<kwd lng="en"><![CDATA[parathyroid neoplasms]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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