An intervention on the thyroid is proposed when one or more nodules are too large, with suspicious characteristics, or in case of an hyperthyroidism wich can not be controlled with a medical treatment.
Interventions of the thyroid occur under general anesthesia, using a nervous monitoring of the vocal cords nerves (” recurrent laryngeal nerves “). This procedure is painless and patients can be discharged from the day after surgery (partial thyroidectomy ) and the 3rd postoperative day (in case of total thyroidectomy ).
Blood samples are to be expected after surgery for total thyroidectomy : monitoring of calcium and thyroid hormone ” TSH ” rate .
There must be 15 days postoperative rest . The closure is provided by a running suture located under the skin which is removed on the 8th day . The scar is very discreet. In case of total removal of the thyroid , it is necessary to take a lifetime replacement treatment with thyroid hormones.
An intervention of the parotid is proposed in case of nodule with suspicious characteristics. The procedure is called ” parotidectomy ” because the nodules are always removed by taking the surrounding parotid tissue, to reduce the risk of postoperative facial palsy.
A parotidectomy is performed under general anesthesia with continuous monitoring of the facial nerve. Postoperative period is not painfull. The patient is discharged usually on the third postoperative day. It is common to place a pressure dressing for 5 days. There must be 15 days postoperative rest.
THYROGLOSSAL DUCT CYSTS
Thyreoglossal duct cysts are of embryonic origin , positioning between thyroid gland ” thyreo ” and base of the tongue ” glossa “. These cysts can occur at any age and evolve with infection episods. These are palpated under the chin, above the Adam’s apple and movable in swallowing. Diagnosis is performed by a scanner .
The procedure is performed under general anesthesia with a horizontal incision centered on the cyst, usually in a fold of skin . Postoperative are often painful because it is necessary to ablate a portion of the hyoid bone, in which many muscles insert . An appropriate analgesic treatment is always available. The pain usually lasts 72 hours and the patient is discharged on the 3rd day. It is common to have swelling under the chin for several weeks. The scar is usualy discrete. There must be 15 days postoperative rest.