Accessibility Tools
Thyroid Surgery

What is Thyroid Surgery?

The thyroid is a butterfly-shaped gland located in front of your neck just below the voice box (larynx). Thyroid surgery involves the removal of part or the whole thyroid gland. 

The thyroid gland secretes thyroid hormones (TH) that regulate metabolism, growth, and development of the human body. It influences the normal functioning of vital organs such as the liver, brain, heart, kidneys, and skin.

When is Thyroid Surgery Indicated?

Certain thyroid problems requiring surgery include:

  • Thyroid cancer
  • Over-reactive thyroid gland or hyperthyroidism
  • Non-cancerous and fluid-filled thyroid nodules causing difficulty in swallowing or breathing
  • A massive goiter compressing the trachea and esophagus

What Happens if Thyroid Disorders are Left Untreated?

Untreated thyroid disorders can cause complications such as muscle weakness, tremors, menstrual and fertility problems, heart and kidney diseases. 

Preparing for the Surgery

  • Before surgery, you will receive a complete medical evaluation and your doctor will discuss the surgery in detail. 
  • Your doctor will perform a physical exam and take a medical history. 
  • Thyroid function tests, ECG, chest X-ray, and fine-needle aspiration biopsy may be ordered. 
  • You may have to take a stress test to evaluate heart and lung function. 
  • Talk to your doctor about the medicines you are taking prior to the procedure. Inform your doctor if you are allergic to any medicines or anesthesia. 
  • Do not eat or drink 6-8 hours before the surgery. Arrange for someone to drive you home.

How is Thyroid Surgery Performed?

Thyroid surgery is usually performed by an open incision of 3-4 inches. Minimally invasive surgery can be performed in some patients. The surgery involves the following steps:

  • You will be given general anesthesia and your surgeon will perform a cervical nerve block. 
  • A breathing tube can be placed to help you breathe during surgery.
  • A small incision will be made in your neck region. Care is taken to avoid damage of vocal cords, trachea and nearby nerves.
  • Depending on the condition, either type of surgery will be performed:
    • Hemithyroidectomy or Lobectomy: Removal of a part or half of the thyroid gland.
    • Isthmusectomy: Removal of the isthmus, a small part of the thyroid gland that connects the right lobe to the left lobe.
    • Total Thyroidectomy: Removal of the entire thyroid gland. 
  • A nearby lymph node will be removed if thyroid cancer has spread beyond the gland.
  • The incision is closed with sutures or protective strip of surgical glue called collodion.

What Happens After Surgery?

  • You will have to stay for a day or two at the hospital. 
  • The breathing tube will be removed. 
  • Pain medications will be given to manage pain. 
  • You may require calcium supplements for a few days. 
  • At home, you will be instructed to avoid any strenuous activities. You can eat and drink normally. 
  • Regularly follow up with your surgeon for complete recovery. 
  • In people with total thyroidectomy, thyroid hormones pills may be required for the rest of life. 

What are the Complications of Thyroid Surgery?

Complications are rare but can include:

  • Bleeding and infection at the surgical site
  • Temporary hoarseness of voice
  • Damage to the parathyroid gland or nearby nerves

Location & DirectionsENT Jacksonville

1370 13th Avenue South, Suite 115 Jacksonville Beach, FL 32250

  • American Board of Otolaryngology – Head and Neck Surgery
  • American College of Surgeons
  • Georgetown University School of Medicine
  • Miller School of Medicine