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Çakırtepe Hastanesi
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TOETVA (Scarless Thyroid Surgery)

About the Treatment Method

TOETVA (Transoral Endoscopic Thyroid Vestibular Approach) is the most advanced and aesthetic surgical method used in the treatment of nodules, goiter, or thyroid cancers occurring in the thyroid gland, leaving no surgical scar on the neck (throat) from the outside. While the front of the neck is cut in traditional surgery; in the TOETVA method, the surgeon reaches the thyroid gland in the neck and removes it by entering with camera-equipped endoscopic instruments through only 3 tiny holes opened from the inside of the lower lip (inside the mouth).

Transoral Goiter Surgery

Advantages of scarless thyroid surgery and its protection of the vocal cords.
Is there really no scar left on my neck?

Yes. This is its biggest revolution. All incisions and stitches remain on the back of the lower lip, between the teeth and the mucosa (inside the mouth). When looking at your neck from the outside or in front of a mirror, there is not a single spot, mark, or scratch indicating that you had surgery.

Does doing it with a camera protect my vocal cords better?

In classic open surgery, the surgeon tries to protect the nerves going to the vocal cords by seeing the thyroid with the naked eye. In the TOETVA (camera-assisted) method, the image is projected onto the screen magnified 10 times. Thanks to this, that millimetric "recurrent laryngeal nerve" going to the vocal cords looks like a giant cable, and the probability of it being damaged (hoarseness) is technologically minimized.

Can it be done for every patient or every nodule?

No. If the thyroid gland or the nodules inside it have reached massive sizes, if it descends towards the rib cage, or if there is an advanced-stage aggressive thyroid cancer; traditional open neck incision surgery is mandatory since it will not be possible (and safe) to pull these tumors out through the small hole inside the lip.

The information on this page is for general health advice. Please consult specialized physicians for personalized treatment or advice.


You can find all the information regarding your treatment and hospital stay process in this section.

Patient Admission

Patient Admission

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Nursing Services

Nursing Services

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Your Hospital Stay

Your Hospital Stay

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Patient Visits

Patient Visits

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