Surgical Innovation in Thyroidectomy: If it Ain't Broke, Why Fix It?

In this presentation, Dr. Raymon Grogan, Associate Professor, Department of Surgery, Section of Endocrine Surgery at Baylor St. Luke’s Medical Center, offers insights into transoral endocrine surgery, focusing on transoral thyroidectomy vestibular approach (TOETVA). The goal of transoral endocrine surgery is to prevent any visible scar on the patient. However, there is controversy around whether the prevention of visible scars is a valid concern that needs to be addressed.

Dr. Grogan shares videos of the surgical procedure and describes the key steps the surgeon should follow, the technological advances that have enabled this procedure to be performed and the potential challenges a surgeon might encounter. He also presents preliminary data comparing efficacy and safety outcomes of TOETVA surgery versus conventional thyroid surgery, and patient perspectives of the TOETVA surgical approach. 

CME Information

CME Credit Available

You may claim CME credit after watching this activity.

Needs Statement

General, plastic, thoracic, vascular, cardiothoracic,and abdominal surgery, and surgical oncology physicians, residents, fellows and medical students need to be regularly updated on advances in surgical care and clinical practices that will aid them in performing a variety of surgical procedures to increase the patient care experience and improve practice efficiency.


At the conclusion of the session, the participants should be able to:

  • Discuss the history of thyroid surgery.
  • Discuss the common complications associated with thyroidectomy and their incidence rates.
  • Review new approaches to surgery of the thyroid.

Target Audience

  • Physicians
  • Medical Students
  • Fellows
  • Residents
  • Nurses
  • Other Health Professionals

Accreditation/Credit Designation

Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Baylor College of Medicine designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Program Director

S. Rob Todd, M.D.
Department of Surgery, Division of General Surgery
Baylor College of Medicine
Houston, Texas
Disclosure: Nothing to disclose.

Term of Approval

August 1, 2019 through August 31, 2021. Original release date: August 1, 2019

Disclosure Policy

The Office of Continuing Medical Education (OCME) makes every effort to develop CME activities that are scientifically based, accurate, current, and objectively presented. In accordance with the Accreditation Council for Continuing Medical Education Standards for Commercial SupportSM, Baylor College of Medicine (BCM) has implemented a mechanism requiring everyone in a position to control the content of an educational activity (e.g., directors, planning committee members, contributors, peer reviewers) to disclose any relevant financial relationships with commercial interests (drug/device companies) and manage/resolve any conflicts of interest prior to the activity. Individuals must disclose to participants the existence or non-existence of financial relationships: 1) at the time of the activity or within 12 months prior; and 2) of their spouses/partners.

Baylor College of Medicine does not view the existence of interests or relationships with commercial entities as implying bias or decreasing the value of a presentation. It is up to the participants to determine whether the interests or relationships influence the presenter with regard to exposition or conclusions.

If at any time during this activity you feel that there has been commercial or promotional bias, please inform us by using the commercial bias comments box in the evaluation form. Please answer the questions about balance in the CME activity evaluation candidly.


The following individual(s) has/have reported financial or other relationship(s) with commercial entities whose products/services may relate to the educational content of this activity:


  1. Raymon Grogan, MD, MS, FACS

    Raymon Grogan, MD, MS, FACS

    Associate Professor and Chief of Endocrine Surgery at Baylor St. Luke's Medical Center
    Baylor College of Medicine


    Nothing to disclose.