A thyroidectomy is the surgical removal of all or part of the thyroid gland.
The thyroid, located at the base of your neck, makes a hormone that is sent into your bloodstream. The thyroid gland makes this hormone from iodine. Iodine is absorbed from the foods we eat.
The thyroid hormone controls the speed of your metabolism. The pituitary gland (located in your brain) controls how much thyroid hormone to make. It does this by making thyroid stimulating hormone (TSH). TSH tells the thyroid gland to make more or less thyroid hormone.
An under-active thyroid is called hypothyroidism. The thyroid produces less thyroxine. This makes the pituitary gland send more TSH into the bloodstream to get the thyroid gland to make more hormone.
Common symptoms of hypothyroidism:
An over-active thyroid is called hyperthyroidism. The thyroid gland makes too much thyroid hormone. The pituitary gland decreases the amount of TSH in the blood.
Common symptoms of hyperthyroidism:
Thyroid nodules can be either solid or cystic (fluid filled). Most of the time, your thyroid works normally if you have nodules. Most nodules are not cancerous. However, your doctor might take a sample of the cells in the nodule. This is called a fine needle aspiration. This sample will be examined to make sure there are no cancer cells.
This is an enlargement of the thyroid gland. You might feel swelling or enlargement in the neck. It can become larger because your thyroid is trying to make more thyroid hormone. Also, in hyperthyroidism, the cells grow faster, which causes the thyroid to grow and make more thyroid hormone than the body needs.
Surgery might be necessary to remove a large goiter or nodule. Surgery might also be needed to remove a hyperthyroid gland that cannot be treated with medicine, or for thyroid cancer.
The risks of surgery are minimal, but might include:
In addition, an occasional patient might have transient hoarseness, but this is rarely permanent. If there is thyroid cancer, you might require additional therapy.
You will be given a general anesthesia to relax your muscles, prevent pain, and make you fall asleep.
An incision (cut) is made along a crease in the base of your neck. Your surgeon might remove part of the thyroid (lobectomy), most of the gland (subtotal), or all of the gland (total thyroidectomy).
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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or healthcare provider. Please consult your healthcare provider for advice about a specific medical condition.
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