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TREATMENT FOR THYROID DISEASES
(ENT SURGERY)

Thyroiditis (Acute, Subacute & Autoimmune)
Thyroiditis refers to inflammation of the thyroid gland and can present with neck pain, swelling, fever, or symptoms of hormone imbalance. Acute thyroiditis is usually bacterial and requires antibiotics. Subacute (De Quervain’s) thyroiditis often follows a viral infection and causes painful thyroid swelling with temporary hyperthyroidism. Autoimmune thyroiditis, including Hashimoto’s disease, results from immune-mediated damage and commonly leads to hypothyroidism. Diagnosis is based on clinical findings, blood tests, and ultrasound. Treatment focuses on pain relief, anti-inflammatory medicines, and hormone replacement when required. Most cases are manageable without surgery, and timely treatment helps prevent long-term complications.
Benign Thyroid Nodules & Goitre
Benign thyroid nodules are common, non-cancerous growths within the thyroid gland and often cause no symptoms. Some patients may notice a painless neck swelling, mild discomfort, or cosmetic concerns. A goitre refers to generalized enlargement of the thyroid and may be related to iodine deficiency, hormonal imbalance, or nodular changes. Evaluation includes thyroid blood tests, ultrasound, and fine needle aspiration biopsy (FNAC) when required. Most benign nodules only need regular monitoring. Treatment is advised if the nodule increases in size, causes pressure symptoms, or affects appearance. Options include medical management, radiofrequency ablation, or surgery in selected cases. Early evaluation ensures reassurance and avoids unnecessary intervention.


Hyperthyroidism (Overactive Thyroid)
Hyperthyroidism occurs when the thyroid produces excess hormones, accelerating the body’s metabolism. Patients may experience weight loss, palpitations, heat intolerance, tremors, anxiety, and excessive sweating. Common causes include Graves’ disease, toxic nodules, and multinodular goitre. Diagnosis is confirmed through thyroid hormone tests and imaging. Treatment options include medications to control hormone production, radioactive iodine therapy, and surgery in selected cases. Surgical management is recommended when symptoms are severe, nodules are large, or definitive treatment is required.
Hypothyroidism (Underactive Thyroid)
Hypothyroidism results from insufficient thyroid hormone production, leading to slowed body functions. Symptoms include fatigue, weight gain, cold intolerance, hair loss, constipation, and depression. The most common cause is Hashimoto’s thyroiditis, an autoimmune condition. Diagnosis is made using blood tests showing low thyroid hormone levels. Treatment involves lifelong thyroid hormone replacement, which is safe and effective when taken regularly. With proper treatment and follow-up, patients can lead a completely normal and healthy life.

Thyroid Cancer (Papillary, Follicular & Medullary)
Thyroid cancer usually presents as a painless neck lump and is often detected early. Papillary and follicular cancers are the most common and have excellent cure rates. Medullary thyroid cancer is less common and may be genetic. Diagnosis includes ultrasound, FNAC, and specialized blood tests. Surgery is the mainstay of treatment, often followed by radioactive iodine therapy or targeted treatment depending on cancer type. Early detection and expert surgical care result in very high survival rates and excellent long-term outcomes.
Thyroid Surgery (Hemithyroidectomy, Total Thyroidectomy & Scar-Minimising Techniques)
Thyroid surgery is performed for nodules, goitre, hyperthyroidism, and cancer. Hemithyroidectomy involves removal of one thyroid lobe, while total thyroidectomy removes the entire gland. Modern surgical techniques focus on nerve preservation, minimal blood loss, and excellent cosmetic results. Scar-minimising approaches, including small-incision and endoscopic techniques, help reduce visible neck scars. Surgery is safe when performed by experienced ENT & Head–Neck surgeons, with quick recovery and excellent outcomes.
