Transoral Thyroid Surgery

The MIS Technique for a Positvely Scarless Outcome.

June 10, 2021

Transoral Thyroid Surgery

Transoral Thyroid Surgery, the MIS Approach, A Scarless Opportunity

In the realm of endocrine surgery, there's a notable shift towards minimally invasive techniques aimed at improving patient outcomes and enhancing cosmetic results. One such pioneering figure in this domain is Dr. Raymon H. Grogan, Chief of Endocrine Surgery at Baylor St. Luke's Medical Center. Dr. Grogan specializes in Transoral Endocrine Surgery (TES)*, a groundbreaking approach that eliminates the conventional neck scar associated with thyroidectomy.

TES, as described by Dr. Grogan, involves a unique transoral method utilizing laparoscopic instruments. Through small incisions in the mouth's vestibule, ports are placed for camera and working instruments, establishing a controlled space for precise access to the thyroid gland and targeted tissue dissection.¹ This innovative approach not only minimizes visible scarring but also accelerates patient recovery and reduces complications commonly associated with traditional procedures.

A key aspect of Dr. Grogan's approach is the integration of intraoperative nerve monitoring (IONM) with electromyography (EMG) surgical instruments. This advanced technology enables real-time assessment and confirmation of the recurrent laryngeal nerve (RLN) during surgery, mitigating the risk of nerve injury and optimizing surgical precision.

Dr. Grogan underscores the clinical and patient-centered advantages of the transoral approach. Beyond its cosmetic benefits, minimally invasive thyroid procedures hold the promise of reduced postoperative discomfort, quicker recovery times, and overall improved patient satisfaction.

It's important to note that while Dr. Grogan's expertise and innovative techniques highlight the evolving landscape of endocrine surgery, ongoing research and systematic reviews like "Transoral Endoscopic Thyroidectomy: A Systematic Review" are instrumental in evaluating the safety and efficacy of such novel approaches across broader patient populations.

As the field continues to embrace minimally invasive strategies like TES, driven by pioneers such as Dr. Grogan, the outlook for patients undergoing thyroid surgery is poised to become increasingly transformative, emphasizing both clinical excellence and enhanced quality of life.

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

*The term TES encompasses the transoral vestibular approach (TOVA), transoral endoscopic thyroidectomy vestibular approach (TOETVA) and transoral endoscopic parathyroidectomy vestibular approach (TOEPVA), laparoscopic and robotic, as well as the transoral approach to remove lymph nodes in the neck, and is adaptable to any new procedure that might arise in the future.²

  1. Camenzuli C, Schembri Wismayer P, Calleja Agius J. Transoral Endoscopic Thyroidectomy: A Systematic Review of the Practice So Far. JSLS. 2018 Jul-Sep;22(3):e2018.00026. doi: 10.4293/JSLS.2018.00026.
  2. Zhou, Silvia, & Wymen Chen. “Dr. Raymon H. Grogan: transoral endocrine surgery.” Annals of Thyroid [Online], 4 (2019): n. pag. Web. 28 May. 2021