At ENTACC, our patients are our priority.

Thyroidectomy Overview

A thyroidectomy is an operation to remove all or a portion of the thyroid gland. Generally it is performed in a hospital setting under a general anesthetic. The operative procedure consists of removing the lobe of the gland containing the lump and usually the small island that connects the two lobes.A frozen section is frequently performed; this is a microscopic reading to determine whether or not the lump is malignant. Based upon the results of this study, the surgeon will then determine whether or not the remainder of the thyroid gland should be removed.

There are circumstances in which the operative procedure as planned is to remove the entire gland. This includes patients in whom it is known preoperatively that the lesion is malignant as well as patients who have extremely large glands that are causing symptoms by their size and expansion. Your surgeon will discuss the various options with you prior to the surgery.

Postoperatively you will have a drain in the wound site. This prevents fluid from accumulating and is generally removed the following day. Most patients are discharged from the hospital one day postoperatively, at which time they utilize the postoperative instructions and prescriptions which were provided preoperatively. Generally most patients are able to resume normal activities and return to work or school within one to two weeks.

Complications of thyroid surgery are rare and may include: bleeding, the collection of blood or serum fluid under the skin, a hoarseness or weakness of voice and infection. All patients who have this surgery experience some numbness of the region of the skin around the incision.

Patients who have their entire thyroid removed and occasionally patients who have a portion of their thyroid removed are generally required to take thyroid medication to replace the thyroid hormone after surgery. Some patients may also need to take calcium with Vitamin D in order to supplement the function of the parathyroid glands,which may have been compromised. Your surgeon will monitor your thyroid and parathyroid function and prescribe thyroid medication or supplemental potassium with Vitamin D if needed.

If you have any questions concerning your comfort or care, please contact our office at (610) 879-0068.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”