Work

Case Report: endoscopic thyroidectomy via total areola approach in a six-year-old patient with thyroid follicular adenoma

Year: 2025

Type: article

Abstract: Background: Endoscopic thyroidectomy (ET) has become increasingly popular globally, but its application in young children remains largely unexplored. This study reports a 6-year-old girl with a neck mass who underwent ET via total areola approach. Methods: After ultrasonographic (ACR TI-RADS 4) and cytological (TBSRTC 4) confirmation, the patient underwent endoscopic right and isthmic thyroidectomy with inferior parathyroid auto-transplantation under general anesthesia. The procedure utilized 3 mm pediatric instruments, intraoperative neuromonitoring and near-infrared auto fluorescent parathyroid monitoring. Results: The procedure achieved complete resection with 215 min operative time and minimal blood loss. The pathological diagnosis was thyroid follicular adenoma. At 3-month follow-up, no complications and excellent cosmetic outcomes were observed. Conclusion: ET via total areola approach proves highly suitable for young children because of its safety and cosmetic advantages. Experienced surgeons, small-size special surgical instruments and auxiliary monitoring techniques are helpful to improve the safety of pediatric ET.

Source: Frontiers in Pediatrics

DOI: 10.3389/fped.2025.1549049

Authors: Qingqing Cai, Yifan Ke, Wenchao Li, Peng Zhang, Jiezhong Wu, Kunpeng Hu

Institution: Third Affiliated Hospital of Sun Yat-sen University

Language: English

Topic: Thyroid and Parathyroid Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801