Thyroid Surgery (Thyroidectomy)

Thyroid Surgery (Thyroidectomy)

Introduction

A thyroidectomy is the partial or complete surgical removal of the thyroid gland, a butterfly-shaped organ located in the neck. The thyroid plays a key role in regulating metabolism, heart rate, and body temperature through hormone production.

Thyroid removal can help relieve symptoms, restore hormonal balance, and prevent complications caused by thyroid diseases.
Our experienced endocrine surgeons provide advanced, compassionate care to ensure safe and effective treatment from diagnosis through recovery.

Symptoms and Indications

Thyroid surgery may be recommended if you experience any of the following conditions:

1. Enlarged Thyroid (Goiter)

  • Visible neck swelling

  • Difficulty swallowing or breathing, especially when lying down

  • Choking sensation due to pressure on the trachea or esophagus

2. Thyroid Nodules

  • Small lumps in the thyroid gland

  • Most nodules are benign, but surgery may be required if they enlarge, cause pain, or biopsy results are suspicious for cancer

3. Hyperthyroidism

  • When medication or radioactive iodine cannot control overactive thyroid function

  • Symptoms include rapid heartbeat, unintentional weight loss, shaky hands, heat sensitivity, and irritability

4. Thyroid Cancer

  • The presence or suspicion of malignant growths in the thyroid often requires partial or total removal

  • Even if cancer isn’t confirmed, surgery may be done after a suspicious biopsy to ensure diagnosis and treatment

5. Suspicious or Recurrent Nodules

  • Repeated or unclear biopsy results

  • Recurrent cysts or regrowths that warrant surgical removal to rule out disease

Your doctor will assess your condition through clinical evaluation, imaging, and lab tests to determine whether thyroidectomy is the best course of action.

Causes and Risk Factors

Common causes and risk factors for thyroid problems include:

  • Iodine Deficiency: Rare in most regions due to iodized salt, but can cause thyroid enlargement (goiter)

  • Autoimmune Diseases:

    • Graves’ disease → causes hyperthyroidism

    • Hashimoto’s thyroiditis → linked to hypothyroidism

  • Genetics & Age:

    • More common in women aged 30–50

    • Family history increases susceptibility

  • Radiation Exposure: Past exposure to head/neck radiation or environmental radiation raises risk

  • Gender: Women are 5–8 times more likely than men to develop thyroid disorders

  • Smoking: Associated with goiter and thyroid eye disease

Our specialists carefully review your medical history, family background, and lifestyle to identify risk factors before treatment.

Diagnosis

Before recommending surgery, your thyroid condition is thoroughly evaluated using:

Physical Examination

  • Checking the neck area for swelling, lumps, or asymmetry

Blood Tests

  • Measurement of TSH, T3, and T4 hormone levels to determine thyroid function

Ultrasound

  • Imaging to evaluate nodule size, shape, and internal characteristics

Fine Needle Aspiration Biopsy

  • A thin needle collects cells from a thyroid lump for microscopic examination

  • Helps determine whether the nodule is benign or malignant

Radioactive Iodine Scan

  • Identifies overactive areas of the thyroid in hyperthyroidism cases

CT/MRI Scans

  • Used when large goiters extend into the chest or compress nearby structures

These diagnostic steps ensure a clear understanding of your thyroid condition and help plan the most suitable surgical approach.

Treatment Options

Not all thyroid issues require surgery. Your doctor may recommend non-surgical alternatives such as:

Medical Management

  • Anti-thyroid medications (e.g., methimazole) for hyperthyroidism

  • Thyroid hormone replacement (levothyroxine) for hypothyroidism

Radioactive Iodine Therapy

  • Used to shrink or destroy overactive thyroid tissue in certain hyperthyroid cases

Monitoring

  • Small, benign nodules may only require periodic ultrasound and hormone testing

When Surgery Is Needed

Lobectomy (Partial Thyroidectomy)

  • Removal of one thyroid lobe

  • Recommended for small nodules or low-risk cancers on one side

  • The remaining lobe often continues to function normally

Total Thyroidectomy

  • Complete removal of the thyroid gland

  • Necessary for large goiters, Graves’ disease, or thyroid cancer

  • Requires lifelong thyroid hormone replacement therapy

Minimally Invasive or Endoscopic Surgery

  • Uses small incisions or endoscopic techniques for reduced scarring and faster recovery in select patients

Your surgeon will choose the most appropriate surgical plan based on your condition, thyroid size, biopsy results, and overall health.

Concerned About Your Thyroid Health?

If you’re experiencing neck swelling, hormonal changes, or unexplained fatigue, don’t ignore the signs.
Our team of expert endocrine surgeons is here to provide personalized, safe, and effective care.

📞 Contact us today to schedule your consultation and take control of your thyroid health.