Inclusion Criteria:  - Patients needing surgery for: Benign or indeterminate nodule less than 6 cm in size or; T1 well differentiated papillary carcinoma less than 2 cm in size or; Well-controlled Grave's disease or; Parathyroid adenoma.  Total thyroid size is 7-8 cm (no more than 10 cm) Their age is ≥18 years and ≤80 years Able to give written consent  Exclusion Criteria:  - History of neck surgery or neck radiotherapy Recurrent thyroid disease Lymph node metastases Presence of intraoral infections Presence of extrathyroidal or substernal extensions Smoking Morbid obesity Contra-indication to general anesthesia with nasotracheal intubation Previous mediastinal surgery Any anatomical anomaly that in the opinion of the investigator may render the intervention more difficult (ex. variations in the structure of the platysmas muscle) Any medical condition, which in the judgment of the investigator and/or designee makes the subject a poor candidate for the investigational procedure