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      • Record: found
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      Facelift thyroid surgery: a systematic review of indications, surgical and functional outcomes

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          Abstract

          Objective

          To investigate indications, surgical and functional outcomes of robotic or endoscopic facelift thyroid surgery (FTS) and whether FTS reported comparable outcomes of other surgical approaches.

          Data sources

          PubMed, Cochrane Library, and Scopus.

          Review methods

          A literature search was conducted about indications, clinical and surgical outcomes of patients who underwent FTS using PICOTS and PRISMA Statements. Outcomes reviewed included age; gender; indications; pathology; functional evaluations; surgical outcomes and complications.

          Results

          Fifteen papers met our inclusion criteria, accounting for 394 patients. Endoscopic or robotic FTS was carried out for benign and malignant thyroid lesions, with or without central neck dissection. Nodule size and thyroid lobe volume did not exceed 6, 10 cm, respectively. FTS reported comparable outcome with transaxillary or oral approaches about operative time, complication rates or drainage features. The mean operative time ranged from 88 to 220 min, depending on the type of surgery (endoscopic vs robotic hemi- or total thyroidectomy). Conversion to open surgery was rare, occurring in 0–6.3% of cases. The most common complications were earlobe hypoesthesia, hematoma, seroma, transient hypocalcemia and transient recurrent nerve palsy. There was an important disparity between studies about the inclusion/exclusion criteria, surgical and functional outcomes.

          Conclusion

          FTS is a safe and effective approach for thyroid benign and malignant lesions. FTS reports similar complications to conventional thyroidectomy and excellent cosmetic satisfaction.

          Graphical abstract

          Supplementary Information

          The online version contains supplementary material available at 10.1186/s40463-023-00624-x.

          Related collections

          Most cited references40

          • Record: found
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          Methodological index for non-randomized studies (minors): development and validation of a new instrument.

          Karem Slim, Emile Nini, Damien Forestier … (2003)
          Because of specific methodological difficulties in conducting randomized trials, surgical research remains dependent predominantly on observational or non-randomized studies. Few validated instruments are available to determine the methodological quality of such studies either from the reader's perspective or for the purpose of meta-analysis. The aim of the present study was to develop and validate such an instrument. After an initial conceptualization phase of a methodological index for non-randomized studies (MINORS), a list of 12 potential items was sent to 100 experts from different surgical specialties for evaluation and was also assessed by 10 clinical methodologists. Subsequent testing involved the assessment of inter-reviewer agreement, test-retest reliability at 2 months, internal consistency reliability and external validity. The final version of MINORS contained 12 items, the first eight being specifically for non-comparative studies. Reliability was established on the basis of good inter-reviewer agreement, high test-retest reliability by the kappa-coefficient and good internal consistency by a high Cronbach's alpha-coefficient. External validity was established in terms of the ability of MINORS to identify excellent trials. MINORS is a valid instrument designed to assess the methodological quality of non-randomized surgical studies, whether comparative or non-comparative. The next step will be to determine its external validity when used in a large number of studies and to compare it with other existing instruments.
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            Preferred Reporting Items for a Systematic Review and Meta-analysis of Diagnostic Test Accuracy Studies

            Matthew McInnes, David Moher, Brett D. Thombs … (2018)
            Systematic reviews of diagnostic test accuracy synthesize data from primary diagnostic studies that have evaluated the accuracy of 1 or more index tests against a reference standard, provide estimates of test performance, allow comparisons of the accuracy of different tests, and facilitate the identification of sources of variability in test accuracy.
            Article 0 comments Cited 739 times – based on 0 reviews     Review now
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              The levels of evidence and their role in evidence-based medicine.

              Patricia B Burns, Rod J Rohrich, Kevin C Chung (2011)
              Article 0 comments Cited 588 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Jérôme R. Lechien:
                ORCID: http://orcid.org/0000-0002-0845-0845
                Jerome.Lechien@umons.ac.be
                Journal
                Journal ID (nlm-ta): J Otolaryngol Head Neck Surg
                Journal ID (iso-abbrev): J Otolaryngol Head Neck Surg
                Title: Journal of Otolaryngology - Head & Neck Surgery
                Publisher: BioMed Central (London )
                ISSN (Print): 1916-0208
                ISSN (Electronic): 1916-0216
                Publication date (Electronic): 10 April 2023
                Publication date PMC-release: 10 April 2023
                Publication date Collection: 2023
                Volume: 52
                Electronic Location Identifier: 25
                Affiliations
                [1 ]Robotic Surgery Study Group of Young-Otolaryngologists of the International Federations of Oto-Rhino-Laryngological Societies (YO-IFOS), Paris, France
                [2 ]GRID grid.12832.3a, ISNI 0000 0001 2323 0229, Department of Otolaryngology - Head & Neck Surgery, Foch Hospital, School of Medicine, UFR Simone Veil, , Université Versailles Saint-Quentin-en-Yvelines (Paris Saclay University), ; Paris, France
                [3 ]GRID grid.8364.9, ISNI 0000 0001 2184 581X, Department of Human Anatomy and Experimental Oncology, Faculty of Medicine, UMONS Research Institute for Health Sciences and Technology, , University of Mons (UMons), ; Mons, Belgium
                [4 ]Department of Otolaryngology, Elsan Hospital, Paris, France
                [5 ]AbbVie Clinical Pharmacology Research Unit, Chicago, IL USA
                [6 ]GRID grid.477189.4, ISNI 0000 0004 1759 6891, Department of Minimally Invasive General and Oncologic Surgery, , Humanitas Gavazzeni University Hospital, ; Bergamo, Italy
                [7 ]International School Reduced Scar Laparoscopy, Bergamo, Italy
                [8 ]GRID grid.21107.35, ISNI 0000 0001 2171 9311, Division of Head and Neck Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, , Johns Hopkins University, School of Medicine, ; Baltimore, MD USA
                [9 ]GRID grid.50545.31, ISNI 0000000406089296, Department of Otorhinolaryngology and Head and Neck Surgery, , CHU Saint-Pierre, ; Brussels, Belgium
                Author information
                http://orcid.org/0000-0002-0845-0845
                Article
                Publisher ID: 624
                DOI: 10.1186/s40463-023-00624-x
                PMC ID: 10088190
                PubMed ID: 37038204
                SO-VID: 589509da-aca5-4902-b6fa-ea936a793a0c
                Copyright © © The Author(s) 2023
                License:

                Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

                History
                Date received : 4 August 2022
                Date accepted : 6 February 2023
                Categories
                Subject: Review
                Custom metadata
                issue-copyright-statement © The Author(s) 2023

                Keywords: thyroid,facelift,hairline,robotic,endoscopic,minimal,invasive,surgery,otolaryngology,head neck
                Data availability:
                Keywords: thyroid, facelift, hairline, robotic, endoscopic, minimal, invasive, surgery, otolaryngology, head neck

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