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Surgical Procedures for Hyperthyroidism
- You have Graves disease and cannot tolerate anti-thyroid medicine or are not a good candidate for treatment with radioactive iodine .
- You have a very large thyroid gland that interferes with breathing or swallowing.
- You have a child with hyperthyroidism.
- You are pregnant and have hyperthyroidism. (Anti-thyroid medicine is considered the first-line treatment for pregnant women.)
- Vocal cord paralysis causing hoarseness
- Infected wound site
- Temporary low serum calcium
- Total or near-total thyroidectomy—all of the thyroid is removed
- Thyroid lobectomy or partial thyroidectomy—removal of only a part of the thyroid (the right or left lobe and/or center)
Hyperthyroidism. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated December 14, 2012. Accessed December 31, 2012.
Medical Guidelines for Treatment of Hypo/Hyperthyroidism. American Association of Clinical Endocrinologists website. Available at: https://www.aace.com/files/hypo-hyper.pdf. Accessed December 31, 2012.
Palit TK, Miller CC, et al. The efficacy of thyoridectomy for Grave's disease. A meta-analysis. J Surg Res. 2000;90:161-165.
Way LW, Doherty GM. Current Surgical Diagnosis and Treatment. 10th ed. Appleton & Lange; 1994.
6/10/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Alhefdhi A, Mazeh H, et al. Role of postoperative vitamin D and/or calcium routine supplementation in preventing hypocalcemia after thyroidectomy: a systematic review and meta-analysis. Oncologist. 2013;18(5):553-542.
- Reviewer: Kim Carmichael, MD
- Review Date: 12/2013
- Update Date: 06/10/2014