Surgical removal of part or all of the thyroid gland for goitre, thyroid nodules, an overactive thyroid or thyroid cancer.
Overview
The thyroid is a butterfly-shaped gland in the front of the neck that controls the body's metabolism. Thyroid surgery (thyroidectomy) removes part of the gland (hemithyroidectomy) or all of it (total thyroidectomy).
Our surgeons work with physicians, ENT specialists and radiologists to evaluate thyroid swellings with blood tests, ultrasound and, when needed, a needle test (FNAC) before recommending surgery.
Who needs this treatment?
- A large goitre causing a visible swelling or pressure symptoms such as difficulty swallowing or breathing
- Thyroid nodules that are suspicious or confirmed to be cancer on testing
- An overactive thyroid (hyperthyroidism) not controlled by other treatment
- Nodules that are growing
Benefits
- Removes the swelling and relieves pressure symptoms
- Definitive treatment for thyroid cancer and many nodules
- Can permanently control an overactive thyroid
How it is done
Before the procedure
Thyroid function tests, an ultrasound of the neck and often an FNAC are done. Your vocal cords may be checked before surgery.
During the procedure
Under general anaesthesia, the surgeon removes the thyroid through a cut in a natural skin crease at the base of the neck, taking care to protect the voice nerves and the parathyroid glands that control calcium.
After the procedure
You can usually eat and drink the same day. Calcium levels are checked, and most patients go home in one to three days.
Recovery and aftercare
Most people return to normal activities within one to two weeks.
- If the whole thyroid is removed, you will need to take thyroid hormone tablets every day for life
- A mild sore throat or hoarse voice is common for a few days
- Report tingling around the lips or in the fingers, which may mean low calcium
Frequently asked questions
Temporary hoarseness can occur. Permanent voice change is uncommon; the surgeon takes special care to protect the nerves to the voice box.
The cut is placed in a natural neck crease, and in most people the scar fades well over time.
This page gives general information. Whether a treatment is right for you, and what it involves, depends on your condition; your doctor will explain the options after examining you.