Transoral endoscopic parathyroidectomy vestibular approach: our experience from a single center in Kuwait

The transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) is a viable, safe, and cosmetically advantageous option for parathyroidectomy in select patients. Careful patient selection is crucial, with criteria including a single adenoma identified on preoperative imaging, and no history of neck surgery or anticoagulant use. Further research is needed to clarify TOEPVA's role in the surgical management of primary hyperparathyroidism and to explore its long-term outcomes in a larger, diverse patient population.