Understanding Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) What Is TOETVA? Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is an innovative surgical technique where the thyroid gland is removed through three tiny incisions inside the mouth, leaving NO visible scar on the neck. This technique was developed by Dr. Angkoon Anuwong at … More Scarless Thyroid Surgery