A Simple Technique for Probe-Based NIRAF-Guided Parathyroid Identification in TOETVA.

Maneeprasopchoke, Prachya; Aungsusiripong, Aimpat; Pithuksurachai, Paveena; Anuwong, Angkoon; Russell, Marika D; Abdelhamid Ahmed, Amr H; Randolph, Gregory W · Laryngoscope · 2026

case_series · Level IV

Where this comes from

Abstract

We describe a technique for probe-based near-infrared autofluorescence (NIRAF)-guided parathyroid identification during TOETVA. The probe is mounted on a suction cannula and introduced via the central port, allowing real-time confirmation of parathyroid tissue without device modification. This approach enables integration of NIRAF into remote-access thyroid surgery.