Scarless Thyroid Surgery – TOETVA
An innovative, effective, and minimally invasive approach for your health

What is TOETVA?

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a minimally invasive surgical technique that allows for total or partial removal of the thyroid gland. Unlike traditional methods, this procedure leaves no visible scars, as the incision is made only through the oral vestibule (between the lips and gums).

Who is it recommended for?

TOETVA is particularly effective for patients who have:

• Benign nodules;
• Small, low-risk malignant tumors.

The procedure is considered individually based on the size of thyroid nodules, tumor spread, and other medical factors.

Procedure Advantages

✅ Cosmetic result – no visible scars on the neck.
✅ Quick recovery – a light postoperative rehabilitation period.
✅ Minimal damage to surrounding structures – maximum protection of nerves, blood vessels, and muscles.
✅ Safety – use of intraoperative neuromonitoring during surgery to prevent nerve damage.

How is TOETVA performed?

1. The surgeon makes small incisions in the oral cavity.
2. Using an endoscope and specialized instruments, the thyroid gland is gradually mobilized.
3. Thyroid excision is performed while preserving important structures.

Factors to Consider

• TOETVA is applied based on detailed patient evaluation.
• Some pathologies may be contraindications for the procedure.
• Based on an individual approach, in some cases it is advisable to use the traditional open method.

Our Experience

Levan Ramishvili is the first surgeon who began performing TOETVA operations in Georgia since 2018. Our team has the best experience and successful practice in scarless thyroid surgery.

Contact us for more information!