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Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) is a novel surgical approach that has gained increasing traction as a remote access approach for parathyroid surgery. The primary aim of this systematic review is to assess the feasibility and safety of this approach. Several databases were screened for relevant citations. The quality of studies and risk of bias were evaluated using the MINORS scoring system. Nine articles containing 78 cases of TOEPVA met the inclusion criteria. Overall, there was a 96% success rate. Ther