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Main > Specialty Areas > Endocrinology >
Hyperthyroidism
Thyroid Surgery Another permanent cure for hyperthyroidism is to surgically remove all or part. Surgery is not used as frequently as the other treatments for this disease. The biggest reason for this is that the most common forms of hyperthyroidism are a result of overproduction from the entire gland and the methods described above work quite well in the vast majority of cases. Although there are some Graves' Disease patients who will need to have surgical removal of their thyroid (cannot tolerate medicines for one reason or another, or who refuse radioactive iodine), other causes of hyperthyroidism can be better suited for surgical treatment earlier in the disease. Potential down side of the surgical approach There is a small risk of injury to structures near the thyroid gland in the neck including the nerve to the voice box (the recurrent laryngeal nerve). The incidence of this is about 1%. Like radioactive iodine treatment, surgery often results in hypothyroidism. This fact is obvious when the entire gland is removed, but it may occur following a lobectomy as well. Whenever hypothyroidism occurs after treatment of an overactive thyroid gland, it can be easily diagnosed and effectively treated with levothyroxine.
Levothyroxine fully replaces thyroid hormones deficiency and, when used in the correct dose, can be safely taken for the remainder of a patient's life without side effects or complications. Just one small pill per day.
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