Synergy Plus Hospital
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Thyroid and Parathyroid Surgery Specialist in Agra | Dr. Divya S. Gupta
Thyroid and Parathyroid Endocrine Surgery
Neck Endocrine Gland Surgery

Precision Surgery for Thyroid and Parathyroid Conditions

The thyroid and parathyroid glands are small but critical endocrine organs located in the neck, responsible for metabolism and calcium balance, respectively. ENT specialists, particularly those with Head and Neck Surgery expertise, are uniquely qualified to perform surgery on these glands due to their intricate knowledge of the surrounding neck anatomy, including the delicate vocal cord nerves.

Dr. Divya S. Gupta provides specialized care for a full spectrum of thyroid and parathyroid disorders, utilizing modern techniques, including **Intraoperative Nerve Monitoring (IONM)**, to maximize patient safety and preserve vocal function.

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Thyroid Surgery (Thyroidectomy)

Thyroidectomy is the surgical removal of all or part of the thyroid gland, indicated for various conditions:

Indications for Thyroidectomy
  • **Thyroid Cancer:** The most common reason, often requiring total thyroidectomy.
  • **Large Goiter:** Significantly enlarged thyroid causing difficulty swallowing or breathing.
Types of Thyroidectomy
  • **Total Thyroidectomy:** Removal of the entire gland.
  • **Hemithyroidectomy (Lobe Removal):** Removal of one side (lobe) of the gland for a benign nodule or low-risk cancer.

Parathyroid Surgery (Parathyroidectomy)

The four parathyroid glands regulate calcium in the blood. **Parathyroidectomy** is performed almost exclusively to treat **hyperparathyroidism** (overproduction of parathyroid hormone), usually caused by a benign tumor (adenoma) on one or more glands.

Minimally Invasive Parathyroidectomy (MIP)

For patients with a single adenoma identified by pre-operative imaging (Sestamibi scan, ultrasound), Dr. Gupta often uses the MIP approach. This involves a **small incision** directly over the affected gland, resulting in a quicker procedure, less scarring, and a faster recovery compared to traditional neck surgery.

Commitment to Preserving Your Voice

Intraoperative Nerve Monitoring (IONM)

The most crucial step in thyroid and parathyroid surgery is identifying and preserving the **Recurrent Laryngeal Nerve (RLN)**, which controls the voice box. We use IONM technology to continuously or intermittently monitor the function of this nerve during the entire operation, significantly reducing the risk of permanent voice change or hoarseness.

Recovery and Long-Term Care

  • **Hospital Stay:** Typically 1 to 2 days for thyroid surgery, often shorter for minimally invasive parathyroidectomy.
  • **Medication Management:** Patients undergoing total thyroidectomy will require lifetime thyroid hormone replacement therapy (Levothyroxine).
  • **Follow-up:** Regular monitoring of thyroid hormone levels and calcium levels (post-parathyroidectomy) is essential.
  • **Scar Management:** Incisions are typically placed in a natural neck crease for the best cosmetic outcome.

For complex endocrine neck conditions, choose a surgeon with specialized expertise in both head & neck anatomy and advanced monitoring technology.

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