Thyroid Surgery


There is a definite increase in the incidence of thyroid cancer, which is in part due to radiology tests which are identifying small lesions in the thyroid. Dr. Tamez can help in the evaluation of these thyroid lesions and perform the latest in minimally invasive thyroid surgery if it becomes necessary. His extensive training in head and neck cancer surgery and his wealth of experience in regards to thyroid nodules, goiters and thyroid cancers with and without neck dissections and with or without removal of disease which extends into the chest makes him the surgeon for you. Some thyroid goiters cause problems with swallowing and breathing and sleeping (Compressive Symptoms). Solid or mixed (solid and cystic) are usually followed for growth or a Fine Needle Aspiration (FNA) is performed to further identify. Usually, a FNA is performed for lesions greater than or equal to 1 cm. An FNA is Dr. Tamez’s test of choice in evaluating thyroid lesions. Thyroid cysts (without solid component) are benign.

What is thyroid surgery?

Thyroid surgery is an operation to remove part or all of the thyroid gland. It is performed in the hospital, and general anesthesia is usually required. Typically the operation removes the lobe of the thyroid gland containing the lump and possibly the isthmus. A frozen section (an immediate microscopic reading) may or may not be used to determine if the rest of the thyroid gland should be removed.

Sometimes, based on the result of the frozen section, the surgeon may decide not to remove any additional thyroid tissue, or proceed to remove the entire thyroid gland, and/or other tissue in the neck. This is a decision usually made in the operating room by the surgeon, based on findings at the time of surgery. Your surgeon will discuss these options with you preoperatively.

There may be times when the definite microscopic answer cannot be determined until several days after surgery. If a malignancy is identified in this way, your surgeon may recommend that the remaining lobe of the thyroid be removed at a second procedure. If you have specific questions about thyroid surgery, ask your otolaryngologist and he or she will answer them in detail.

Dr. Tamez of Tejas Ear, Nose and Throat is a very experience Head and Neck Surgeon. He is meticulous and whenever possible he performs a minimally invasive(mini) incision which is cosmetically inconspicuous. He does this because that is what he would want for his loved ones. Make an appointment to discuss your case with Dr. Tamez