Thyroidectomy

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.

Hypothyroidism

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:

• Weight gain
• Feeling cold
• Dry skin, hair, and nails
• Feeling tired

Hyperthyroidism

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.

Nodules

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.

Goiter

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:

• Blood loss
• Infection

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).

Call your doctor if

• There is swelling at the incision site
• There is bleeding at the incision site
• You have a fever of 38.33°C or higher
• There is a redness or warmth at the incision site
• You experience tingling in your hands, feet, or lips
• You notice numbness or tingling in your face, hands, or lips