Traditional thyroid and parathyroid surgery are used to treat problems such as goiters, recurring thyroid cysts, thyroid cancer and symptomatic thyroid nodules. Usually, thyroid surgery in Nashville involves either inspecting or removing the diseased thyroid or parathyroid glands. According to a report and a conservative estimate from 2017 in Physician’s Weekly, 150,000 thyroidectomies are performed every year. However, a new development for no scar thyroid surgery now provides patients more options.

What Does Traditional Thyroid Surgery Consist Of?

Traditional thyroid surgery is performed by making an external horizontal incision on the neck. The next step involves additional incisions to allow the surgeon to peel back the subcutaneous tissue and access the thyroid or parathyroid gland. 

Will I have a scar after thyroid surgery?

Usually, the first incision is made in line with the natural skin fold lines of the patient. This is done in order to minimize scarring. However, depending on the patient’s skin tone and quality may still see a scar on the neck over time.

What Is Scarless Thyroid Surgery in Nashville?

No scar parathyroid and thyroid surgery is a recent medical development. Medically referred to as scarless thyroidectomy, this procedure uses a transoral approach to access the thyroid gland during operation. The goal of this procedure is the same as regular thyroid surgery, but no scar will be visible after recovery.

This new method is performed by making small incisions in the mouth and then using surgical tubes to gain access to the thyroid gland. Or the parathyroid gland if it is being removed. Alternatively, this procedure may be performed endoscopically, meaning as an exploratory procedure to inspect the thyroid and parathyroid glands before removing tissue.

Once the surgeon has access to the glands and nodules, they can make precise cuts and sever the tissue that needs to be removed. Because scarless thyroid surgery has a limited amount of space to work with, complete thyroidectomy may not be right for some patients. If you are experiencing a thyroid-related condition, talk to your doctor or surgeon about no neck scar endoscopic thyroid surgery and if it’s right for you.

Is Transoral Thyroid Surgery a Specialty?

Because scarless thyroidectomies are still relatively new, only certain trained surgeons offer to perform it. At The Surgical Clinic–Rutherford, Dr. Joshua Taylor offers transoral thyroidectomy and parathyroid surgery. He is happy to discuss any questions or concerns with you. Also, he will be happy to help you identify if this surgery is right for you. Getting thyroid surgery in Nashville is an easy process with great surgeons like Joshua Taylor. 

What Are The Benefits of Scarless Thyroid Removal Surgery?

The main benefit of scarless thyroidectomy is right there in its name–no external scarring. However, because there are still incisions being made, there will still be visible scars on the inside of the mouth. But in that case, you have no need to worry about hiding a scar on your neck.

Other than no scar after the operation, there are no other significant benefits over traditional thyroid surgery.

What to Expect with Scarless Thyroid Surgery

After reviewing your medical records with your doctor, you will be referred to a surgeon that specializes in thyroid and parathyroid surgery. The specific tests you will need to have performed will depend on your symptoms and health.

Should you decide to undergo a scarless thyroidectomy, you will first need to set up a consultation with your surgeon. During your consultation, your surgeon will review the steps of the procedure, answer any questions you have and explain what steps you need to take during your recovery.

The week before your operation you should stop taking any non-steroid anti-inflammatory medications as well as aspirin. Your doctor will instruct you if you should stop taking any other medications that may interfere with the anesthesia.

On the day of your operation, you should have a friend or family member drive you to the appointment in the Nashville area. The surgery usually lasts anywhere between one to three hours depending on the patient.

After the surgery, you will be required to stay overnight in the hospital where your recovery will be monitored. 

What to Expect During Scarless Thyroid Surgery Recovery

A patient consultation with their doctor about scarless thyroid surgery.

After your surgery, you will need to stay on a liquid diet for the first few days before eating soft foods. After about three days, you should be able to eat and drink normally.

You can expect some mild swelling and soreness in your throat the day after surgery and for a few days after. Most patients only need a prescription pain reliever for the first three days after their operation. Afterward, most patients can manage their symptoms with over-the-counter anti-inflammatories.

You will also be given a compression neck support to wear that will help reduce swelling and support the healing process. Make sure you maintain your oral health in order to prevent the incisions from getting infected. You may also notice some bruising around your face and neck, but these should fade after a week or two.

 

Who is a Good Candidate for Scarless Thyroid Surgery?

A scarless thyroidectomy is not right for everyone. We are selective of which patients undergo this minimally invasive procedure in order to provide the best results. Most candidates should be in good health and at a reasonable weight in order to allow trans oral access to the thyroid or parathyroid glands.

Conditions treatable by no scar thyroidectomy include:

  • Small thyroid nodules
  • Grave’s Disease
  • Goiters
  • Primary hyperthyroidism

Other cases of thyroid disease may be evaluated by your doctor and surgeon. In terms of thyroid cancer surgery, the transoral endoscopic thyroidectomy may only be performed in cases where the cancer nodules are less than 2 centimeters in diameter.

Risks of Thyroid Surgery

The most common after thyroid surgery side effects are the pain, swelling and bruising around the neck and face. However, there are always additional risks to surgery that may include damage to your vocal chords, bleeding and infection. If you notice any of these side effects, tell your doctor immediately in order to monitor your health.

Will thyroid surgery damage my vocal cords?

There is a small risk that the nerves connected to the vocal cords may be damaged during the operation. However, most cases of postoperative hoarse voice will heal within a few weeks. In extreme cases, the hoarse voice may last for up to six months. In extremely rare cases, patients experienced permanent hoarse voice, but this can be corrected through additional treatments.

Scarless Thyroid Surgery at TSC Rutherford

Our providers at TSC Rutherford are proud to offer this innovative surgery to our thyroid patients across Middle Tennessee. If you are interested in experiencing the benefits of no scar thyroid surgery, call The Surgical Clinic–Rutherford to schedule a consultation today.