Thyroid Surgery in Bangalore | Dr. Narayana Subramaniam
Endocrine Head & Neck Surgery

Thyroid Surgery in Bangalore

Precise, nerve-monitored thyroid surgery for goitre, thyroid cancer, and nodules — with same-day or next-day discharge for routine cases.

5000+
Complex Surgeries
<1%
Voice Change Rate
1–2 days
Hospital Stay
48 hrs
To Consultation

When is Thyroid Surgery Needed?

Surgery is recommended when a thyroid nodule is suspicious for cancer, when goitre causes compressive symptoms, or when a confirmed thyroid cancer requires removal.

Dr. Narayana uses intraoperative nerve monitoring to protect the recurrent laryngeal nerve, reducing the risk of voice change to under 1% in experienced hands.

  • Confirmed or suspected thyroid cancer (papillary, follicular, medullary, anaplastic)
  • Suspicious nodule on FNAC (Bethesda IV–VI)
  • Goitre causing breathing or swallowing difficulty
  • Hyperthyroidism not controlled by medication
  • Rapidly enlarging thyroid mass
  • Retrosternal goitre
<1%
Voice change rate
<1%
Hypoparathyroidism
1–2 days
Hospital stay
2 weeks
Return to normal activity

Types of Thyroid Surgery

Total Thyroidectomy

Complete removal of the thyroid gland. Standard for thyroid cancer and large bilateral goitres. Followed by radioactive iodine if needed.

Hemithyroidectomy

Removal of one lobe only. Used for unilateral nodules or low-risk cancer. Preserves some thyroid function — many patients avoid lifelong medication.

Completion Thyroidectomy

Removal of remaining thyroid tissue after initial hemithyroidectomy, when final pathology confirms cancer requiring total removal.

Central Neck Dissection

Removal of lymph nodes in the central compartment — performed alongside thyroidectomy when cancer has spread to regional nodes.

Your Treatment Journey

1

Consultation & Imaging Review

FNAC report, ultrasound, and thyroid function tests reviewed. Laryngoscopy performed to assess vocal cord function before surgery.

2

Pre-operative Assessment

Anaesthetic review, calcium and PTH baseline, and consent for nerve monitoring.

3

Surgery (2–3 hrs)

Performed under general anaesthesia with continuous intraoperative nerve monitoring. Small cosmetic neck incision in the skin crease.

4

Recovery (1–2 days)

Calcium monitored post-op. Voice assessment before discharge. Most patients go home the next day.

5

Follow-up & Hormone Replacement

Thyroxine replacement started, radioactive iodine planned if indicated. Histopathology reviewed at 2-week visit.

Safe, Precise Thyroid Surgery

Dr. Narayana Subramaniam, MS, MCh

Lead Consultant — Head & Neck Surgery & Oncology & Skull Base Surgery, Bangalore

  • Intraoperative nerve monitoring on every case
  • High-volume thyroid surgeon — consistent low complication rates
  • Comprehensive endocrine tumour management
  • Medullary and anaplastic thyroid cancer expertise
  • Collaborative care with endocrinology and nuclear medicine

When to Refer

  • Bethesda IV, V, or VI FNAC report
  • Confirmed thyroid cancer (any type)
  • Goitre with compressive symptoms
  • Medullary thyroid cancer (MEN syndromes)
  • Recurrent thyroid cancer
  • Retrosternal or giant goitre

Common Questions

Will my voice change after thyroid surgery?
With intraoperative nerve monitoring, voice change occurs in less than 1% of cases at experienced centres. Temporary hoarseness may occur in some patients and usually resolves within weeks.
Will I need to take medication for life?
After total thyroidectomy, yes — daily thyroxine tablets are required. After hemithyroidectomy, many patients maintain sufficient thyroid function without medication.
How long before I can return to work?
Most office workers return to work within 1–2 weeks. Those in physically demanding jobs may need 3–4 weeks.
Will the scar be visible?
The incision is placed in the natural skin crease of the neck and typically heals to a very fine, barely visible scar within 3–6 months.

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