Transoral Thyroid Surgery

June 10, 2021

Intraoperative neuromonitoring (IONM) of the RLN utilized during Transoral Endocrine Surgery

Dr. Raymon H. Grogan is a specialist in endocrine surgery and one of few surgeons in the United States who are experts in Transoral Endocrine Surgery* (TES). TES is a novel procedure that leaves no visible scar after thyroid surgery.

TES is a broad term that Dr. Grogan uses to describe the transoral approach to a thyroidectomy.  By utilizing laparoscopic instruments, three small incisions are made in the lower lip to access and remove the diseased tissue. In addition, Dr. Grogan uses intraoperative nerve monitoring with EMG surgical accessories to confirm and assess the recurrent laryngeal nerve during the procedure. Dr. Grogan believes the transoral approach adds value both clinical and patient-centered. MIS thyroid procedures reduce complications, provide an easier recovery, and maintain the natural appearance of the neck “scarless.”

Dr. Grogan is the Chief of Endocrine Surgery at Baylor St. Luke’s Medical Center. (more)

*The term TES encompasses, transoral vestibular approach (TOVA), transoral endoscopic thyroidectomy vestibular approach (TOETVA) and transoral endoscopic parathyroidectomy vestibular approach (TOEPVA), laparoscopic and robotic, as well the transoral approach to remove lymph nodes in the neck, and is adaptable to any new procedure that might arise in the future.1

1. Zhou, Silvia, & Wymen Chen. “Dr. Raymon H. Grogan: transoral endocrine surgery.” Annals of Thyroid [Online], 4 (2019): n. pag. Web. 28 May. 2021