Thyroidectomy is the surgical removal of all or part of the thyroid gland. This gland is in the neck. It produces hormones that regulate metabolism. The surgery may be a: Total or near-total thyroidectomy—all of the thyroid is removedThyroid lobectomy or partial thyroidectomy—removal of only a part of the right or left lobe and/or center of the thyroid
The Thyroid Gland
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All or part of the thyroid gland may be surgically removed for any of the following reasons:
Overactive thyroid, known as
hyperthyroidism, due to Graves disease or an over-functioning nodule
Enlarged thyroid, known as a goiter, causing significant symptoms because of its sizeThyroid nodule(s) that are suspicious or cause concern for thyroid cancerThyroid cancer
Complications are rare, but no procedure is completely free of risk. If you are planning to have a thyroidectomy, your doctor will review a list of possible complications, which may include: Damage to the parathyroid gland, which controls calcium metabolism, which could lead to nerve and heart problemsScarringBleedingInfectionVoice changes due to damage to nerves leading to the voice box—rareThyrotoxic crisis, which is a sudden excessive release of thyroid hormone at toxic levels—very rare
Some factors that may increase the risk of complications include: Severe
goiterObesitySmokingAlcoholismPoor nutritionLong-term illness such as diabetes
Your doctor may do the following: Physical exam
Laboratory and/or imaging tests
to assess thyroid function
UltrasoundMRI scanThyroid hormone testingAnti-thyroid medicine to suppress thyroid activity in patients with hyperthyroidismThyroid scan
Leading up to your procedure:
Talk to your doctor about your medications. You may be asked to stop taking some medications up to one week before the procedure, like:
Anti-inflammatory medications, such as ibuprofenBlood thinnersAntiplatelet medicationsDo not eat or drink anything after midnight the night before the procedure.Arrange for transportation to and from the hospital.
anesthesia will be used.
You will be asleep.
An incision will be made in the front of the neck. Bleeding vessels will be clamped and tied off. All or part of the thyroid gland will be cut away from other tissues in the neck. Care will be taken to avoid injury to other nearby glands and nerves. Bleeding is controlled with special tools that compress and seal the ends of the vessels. The incision will be closed. The edges of skin will be stitched together. A drain will often be left in overnight. It will help drain any extra fluids.
The thyroid may be removed to treat thyroid cancer. In this case, lymph nodes in the area may also be removed. This will test if the cancer has spread.
In some cases, the doctor may be able to remove the thyroid using endoscopic surgery. This involves making small incisions, instead of a large incision in the neck.
Anesthesia prevents pain during the procedure. Pain after the procedure is common. You will be given medication to help manage this.
The usual length of stay is one day. Your doctor may choose to keep you longer if complications arise.
There will be discomfort in your neck for several days. The pain can be treated with medication.In some cases, you may have a hoarse voice for a few days.Depending on how much of the thyroid is removed, you may need to take replacement thyroid hormone.In some cases of thyroid cancer, you may need radioactive iodine treatments. This is called remnant ablation.
When you return home, do the following to help ensure a smooth recovery: Keep the incision clean and dry.Ask your doctor about when it is safe to shower, bathe, or soak in water.Do not get the incision wet until your doctor allows. If it does get wet, dry it right away.Do not apply make-up, lotion, or cream to the incision area.Perform neck exercises as instructed by your doctor.Take all medicines as prescribed by your doctor.Be sure to follow your doctor's
After you leave the hospital, contact your doctor if any of the following occurs: Numbness or tingling around the lips or extremitiesTwitching or muscle spasmsExcessive and progressive fatigueDifficulty swallowing, talking, or breathingSigns of infection, including fever and chillsRedness, swelling, increasing pain, excessive bleeding, or any discharge from the incision siteNausea and/or vomiting that you cannot control with the medications you were given after surgery, or which last for more than two days after discharge from the hospitalCough, shortness of breath, or chest painPain that you cannot control with the medications you have been given
In case of an emergency, call for medical help right away.
Last reviewed August 2013 by Kim Carmichael, MD; Michael Woods, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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