THYROID SURGERY
-Thyroid is a butterfly shaped gland in neck which produces thyroid hormone , essential for our body metabolism.
-Thyroid gland has two lobes on either side and connected in centre.
-It is quite common to have lumps in thyroid gland which may be completely benign or cancerous.
-Many patients start noticing swelling in anterior neck with no pain or discomfort.
-These may gradually increase in size and become large lumps overtime.
-Many a times these lumps are multiple and present on both lobes , which can progress to form a large swelling.
-Most of these are non -cancerous and would require surgery for cosmetic reasons or as the size of lumps may cause pressure on surrounding structures like air pipe and food pipe.
THYROID CANCER
-Most of the times thyroid cancer also present as pain less lump in thyroid which slowly progress in size.
-So its difficult to differentiate from non cancerous ones. However few cases present with
1)rapidly increasing lump in thyroid
2)Enlarged neck nodes due to cancer spread
3)Change in voice
4)Difficulty in breathing
INVESTIGATIONS FOR THYROID LUMP
1)Ultrasound scan of thyroid gland
Based on features of lump we can segregate them into highly suspicious for cancer, borderline or non cancerous lumps.
2)FNAC
Cytology is quick and easy test done after USG . This can pick up cancer in lump or at least guide us with risk of cancer in the sampled lump(BETHESDA CLASSIFICATION)
3)IMAGING
MRI / CT scan are rarely done in patients with large lumps or with ominous symptoms of advanced thyroid cancer.
THYROIDECTOMY
1)HEMI THYROIDECTOMY
Removal of one half of thyroid gland is called hemi thyroidectomy . This is generally done for
-Benign lumps in one thyroid lobe.
-Early stage thyroid cancer.
-Diagnostic for follicular adenoma.
2)TOTAL THYROIDECTOMY-
Removal of complete thyroid gland is called total thyroidectomy. Most common indications are
-Benign nodules in both lobes.
-Thyroid cancer.
3)NECK DISSECTION
Thyroid cancer patients presenting with spread of cancer to neck nodes , requires appropriate neck dissection along with thyroidectomy to completely clear disease.
HOW SAFE IS THYROID SURGERY
In experienced hands thyroidectomy is a completely safe surgery.
Three structures of concern during surgery are
-Recurrent laryngeal nerve which supplies muscles of vocal cords.
-External branch of superior laryngeal nerve which also supply to muscle of vocal cord.
-PARA THYROID glands which maintain calcium levels in blood.
(In the above picture blue arrow indicates Recurrent laryngeal nerve and yellow marks parathyroid gland).
All these nerves and parathyroid glands are dissected meticulously and preserved during surgery so that patients doesn’t have long term surgery morbidity.
HOW DO WE MAKE THYROID SURGERY SAFE
-EXPERIENCE OF SURGERY TEAM- With our experience of more than a decade operating on thyroid lumps and cancers , operative complications are rare.
-ANAESTHESIA – Hypotensive anaesthesia prevents bleeding during surgery and enable surgeon to delicately separate nerves and gland.
- NERVE MONITORING – Continuous nerve monitoring of RLN and EBSLN will warn surgeon of any nerve injury due to stretching of nerve.
White arrow-Recurrent laryngeal nerve.Yellow- para thyroid gland
White arrow-Recurrent laryngeal nerve.Yellow- para thyroid gland
THYROID CANCER SURGERY
Wite arrow -External branch of superior laryngeal nerve(EBSLN) during total thyroidectomy for thyroid cancer.
WHITE ARROW -EXTERNAL BRANCH OF SUPERIOR LARYNGEAL NERVE
WHITE ARROW -EXTERNAL BRANCH OF SUPERIOR LARYNGEAL NERVE
-We routinely do locally advanced thyroid surgeries with neck nodal enlargement, tumour infiltrating into surrounding structures and extension into chest
-Huge thyroid mass extending into chest. Chest bone is split to remove the mass.
RADIO IODINE THERAPHY
-Advanced cancers of thyroid (papillary and follicular) require post surgery Radio iodine theraphy to ablate metastatic disease.
NECK SCAR IN THYROID SURGERY
-Well placed neck scar for thyroidectomy heals well and allign with neck folds so that it is not visible obviously after 4 months of surgery.
-Steps taken to produce a fine thyroidectomy scar
1)Incision placed in natural neck fold.
2)Sub-cutaneous suturing done with absorbable sutures so that scar is thin.
-This patient underwent thyroidectomy with neck dissection on both side of neck with 10 cm incision which is well healed.
-Another fine thyroidectomy with neck dissection scar for cancer of thyroid.
SCARLESS THYROIDECTOMY/ ROBOTIC THYROIDECTOMY
-Robotic thyroidectomy can be done from mouth called trans oral thyroidectomy vestibular approach(TORTVA) or from behind the ear called retro auricular approach.
-In TORTVA three small incisions are made in lower lip for robotic arms to enter into neck and thyroid gland is removed from mouth.
-Excellent cosmetic results with no visible scar in neck.
-In post aural robotic thyroidectomy incision is given behind hairline behind the ear for access into neck.
-So scar is actually concealed and not visible in neck.
WHO CAN UNDERGO ROBOTIC THROIDECTOMY
1)Non cancerous lump in thyroid.
2)Size less than 4 cm.
3)No involvement of neck nodes.
ADVANTAGE
-No visible scar in neck
DISADVANTAGE
-Increased surgery time-Expensive when compared to open surgery
TORTVA
POST AURAL ROBOTIC THYROIDECTOMY
MANAGEMENT OF COMPLICATIONS OF THYROID SURGERY
-We are experienced in management of recurrent nerve injury.
-Voice change can be treated with THYROPLASTY and injection laryngoplsty.
-LASER CORDECTOMY is done in patients with injury to both side recurrent laryngeal nerves with breathing difficulty .
CONSULT US FOR HOLISTIC MANAGEMENT OF THYROID LUMPS AND CANCER.
Testimonials
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Sandeep Mallya
Software Engineer
It has been difficult to find the best Oncologists in the city but I got the most needed Oral Cancer Treatment in Hyderabad at Dr Rahul’s. Dr Rahul is a caring and most approachable doctor. Highly recommended.
Madhu Navdeep
Doctor
I’ve been battling with sinus issues for years now and have struggled to have a sinus free life. I’ve always been a fun person but sinus has taken me away from it. I met Dr Rahul, a very well reputed sinus cancer specialist and with his treatment, I feel like I can achieve a great life ahead. Very grateful.
Sarala Neelima
Scientist
Dr Rahul has been treating my father with Oral Cancer and by far the results we have seen have been impeccable. I can surely say that Dr Rahul is the best head and neck oncologist in Hyderabad.
Narayan Ravindra
Editor
Dr Rahul always answers the questions with extreme patience. Consulted him for my mother’s oral cancer treatment with obvious lots of concern. I take pride in getting my mother the most needed treatment from the best ENT Specialist.
Lakshman Rao
Business
We have known Dr Rahul’s for a while now as I’ve done my consultation with him after I moved to the city. Got remarkable throat cancer treatment in Hyderabad at Dr Rahul’s after quite a struggle. His expertise is top notch and I can happily trust him with my life.
Chander Arabinda
WeaverTestimonials
Oral Cancer Treatment in Hyderabad, best head and neck oncologist in hyderabad, Best ENT Specialist in Hyderabad, throat cancer treatment in hyderabad, throat cancer surgeon in hyderabad, sinus cancer specialist in hyderabad, Head and Neck cancer specialist in KPHB
Sandeep Mallya
Software Engineer
It has been difficult to find the best Oncologists in the city but I got the most needed Oral Cancer Treatment in Hyderabad at Dr Rahul’s. Dr Rahul is a caring and most approachable doctor. Highly recommended.
Madhu Navdeep
Doctor
I’ve been battling with sinus issues for years now and have struggled to have a sinus free life. I’ve always been a fun person but sinus has taken me away from it. I met Dr Rahul, a very well reputed sinus cancer specialist and with his treatment, I feel like I can achieve a great life ahead. Very grateful.
Sarala Neelima
Scientist
Dr Rahul has been treating my father with Oral Cancer and by far the results we have seen have been impeccable. I can surely say that Dr Rahul is the best head and neck oncologist in Hyderabad.
Narayan Ravindra
Editor
Dr Rahul always answers the questions with extreme patience. Consulted him for my mother’s oral cancer treatment with obvious lots of concern. I take pride in getting my mother the most needed treatment from the best ENT Specialist.
Lakshman Rao
Business
We have known Dr Rahul’s for a while now as I’ve done my consultation with him after I moved to the city. Got remarkable throat cancer treatment in Hyderabad at Dr Rahul’s after quite a struggle. His expertise is top notch and I can happily trust him with my life.
Chander Arabinda
Weaver
I am a doctor overseas and when my mum needed surgery for oral cancer, Dr Rahul was collectively recommended by many of my doctor friends and colleagues and I could clearly see why with the experience we had with him. His high standards of care represent how advanced his practice is. He explained things clearly to my mother, provided all the available management options, responded promptly to queries, understood the implications of surgeries to the whole family and provided a holistic care. Needless to say about his great surgical skills, his vast knowledge and experience combined with professionalism and sincerity makehim the best head and neck oncologist to approach for any of our loved ones.
vineela mandava
I went to Dr Rahul for biopsy for my vocal cords after 7 years of radiation treatment. He treated me well and explained everything clearly. He is a very nice doctor,he explains everything very clearly, Dr.Rahul and is whole team is very friendly , he also suggests what is the best for us , he has done a successful biopsy for my vocal cords and the result came negative which he told me before biopsy. He is very talented and experienced. When ever we go for regular checkups ,he is very caring and responsible.. Thank you sir.
ratna sirasani
Dr. Rahul buggaveti is the excellent and best Doctor. His concerned towards patient is more responsible. He has done surgery for my mother suffering from carcinoma, he clearly explained about the problem, how the surgery will be done. Starting from treatment till date he was the only one responds immidiately and rectified health issues for patient at anytime. Great attitude lot of patience &showing kindness towards patient health. I am very much grateful to Dr. Rahul for giving such an adorable treatment to my mother. I suggest everyone to my friends to approach ENT doctor Dr. Rahul I thank GOD for showing path towards Dr. Rahul for my mother treatment .
Padmaja.T vishwa
Dr Rahul Buggaveeti, Head & Neck surgical oncologist, Hyderabad is excellent in diagnosis of problem and superb skills as a surgeon i experienced during my cousin treatment for jaw bone cancer. He will explain well before and after surgery and suggest post operative measures very well. Maintain transperancy throughout the treatment. Great patience. Thanks to him.
sai SUDHAKAR
I went with swelling in the neck at right side for a month ago and consulted Dr. Rahul Buggaveeti. He immediately suggested USG Guided FNAC but the report was inconclusive. Further investigations were planned for Frozen section biopsy and surgery by Dr. Rahul. So I went with a total thyroidectomy+ Central neck dissection in which they have Identified level II, III, IV lymph node to be cystic in consistency with black discoloration. The lymph node sent for frozen section analysis and found Metastasis from thyroid carcinoma. Dr Rahul took outmost care by removal of infected nodes on both sides of my neck and successfully completed my surgery. From the starting to the end of my operation he was so supportive to me and my family by all means. The way he explains and motivates the patient is rare quality from any doctor. After post operation also Dr Rahul took personal care by giving mental and physical motivation to me as a family member. I strongly recommend patients related to ENT problems to Dr Rahul Buggaveeti. I and my family will be always thankful to Dr. Rahul Buggaveeti.
Sandeep Chinta
Brilliant Doctor with Humble approach. Dr. Rahul is experienced professional. From start to end I was so comfortable discussing my problem with him, he was very clear & transparent with his approach. He explained me the treatment & surgery procedure in very simple words which make sense to me. Today when I am writing this is 20th day after my surgery and now, I look back I can see everything is going well as Dr. mentioned.
Suraj Kumar Chandrakar
I consider myself blessed to find Dr. Rahul for the treatment my mother needed six months ago. We were so unsure and lost about what was going on for weeks prior, but within a few minutes of a consultation with Dr. Rahul, he explained to us the diagnosis and course of treatment in a very precise and easy manner to understand. In addition to this, he also empathized and gave us alot of moral support. I did not even need to think of going for a second opinion as Dr. Rahul made me feel secure in the first meet. I would forever be grateful to Dr. Rahul for everything he has done for my family. God bless you Doctor
Ayesha Sultana
Excellent treatment and very patient hearing from the doctor. We met Dr Rahul Buggaveeti in Apollo Hospital Jubilee hills for my wife's thyroidectomy which was pending since last 17 years. He was so patient in hearing to all our queries and answered them in detail. He conducted the operation with precision and saved the vocal chords and other important nerves for chewing and swallowing. Recovery was very quick after surgery. Within 4 days my wife was almost normal with daily activities. We thank Dr Rahul Buggaveeti garu for such a hassle free surgery and answering all our queries time to time thereby instilling confidence in us. Thank you Dr Rahul Buggaveeti garu. 🙏🙏
Murali Sarma
5 months ago I have consulted Dr. Rahul Buggaveeti for my Thyroid problem. Dr. Rahul is excellent and best Doctor. He explains everything clearly and ensures that they understand the treatment plan and response immediately through whatsApp also. I felt that I got plenty of time to explain my issues without feeling rushed and he gave me hope and mental support. The way he counselled me gave a scope to lead a new life. He gives more importance to the patients rather than anything else. I am thankful to my destiny that made me to meet a wonderful and caring person like him. I would like to visit whenever needed and complete my treatment with full trust. I even suggest others can get their treatment with full hope and trust.
Balshetty Padma
I am a practicing physician in the US. In early 2021, I had noticed a change in the voice of my father. Initially saw a local ENT who dismissed his symptoms for allergy and reflux. A close oncologist friend of mine suggested he see Dr. Rahul, who diagnosed him with a dysplastic lesion and suggested Radiation. My parents were very happy that Dr.Rahul was very thorough and informative. He discussed with them in detail the pros and cons of procedures. My father regained his voice, and needless to say - my family and I are glad and grateful for Dr.Rahul’s services. As a person Dr.Rahul is humble and sincere. He is knowledgeable and is an expert in his area of specialization. I highly recommend Dr.Rahul for any ENT related issues.
Sowmya Thadisina
Great experience as a first timer. I barely waited to be helped when I checked in. The staff and Dr. Rahul Buggaveeti were all very friendly and helpful. I especially loved how Dr. Rahul Buggaveeti really took his time to explain my conditions with me as well as my treatment options. I had a great visit and the doctor’s demeanor has really put me at ease so I highly recommend this for ENT and Head and nick surgeries. The Dr. Rahul Buggaveeti has the one of the best treatment and speedy recovery for head and surgeries and treatment.
dileep Reddy
Business
My dad noticed a tumor on his tongue and visited Dr. Buggaveeti. Dr. Buggaveeti performed biopsy and determined it was cancerous. As soon as my dad heard the word cancer he became too worried. Dr. Buggaveeti consoled him, clearly explained us the procedure to take care of it and dad went through with it. Dr. Buggaveeti kept us well informed all through the process and provided excellent care. Thanks to the Dr. Buggaveeti that it was diagnosed early and all the cancerous tumor was removed. My dad is cancer free and will be monitored for next year. I would strongly recommend Dr. Buggaveeti for your ENT oncology needs.
Kiran Guntupalli
Dr Rahul Buggaveeti garu given excellent treatment, guidance & care to my father, who suffered from throat & lung problem due to his smoking habit for last 50 years. Doctor garu swiftly identified the symptom initially & provided efficient treatment & helped in curing the disease totally.Health is Wealth.
rao mv
My mother recently went through a surgery from Dr Rahul and the surgery went perfectly fine. He is very helpful regarding personal doubts and queries which I felt very helpful as being from a non medical background I and my mom came up with several doubts which he answered with utmost patience.
Utkarsh MK
Dr.Rahul is a very nice doctor,he explains everything very clearly ,Dr.Rahul and is whole team is very patient, he also suggests what is the best for us , he has done a successful surgery for carcinoma oralcancer to my husband When ever we go for regular checkups ,he is very caring and responsible. I always thanks sir. Great patience. 🙏🙏
gayathri jagarlapudi
Dr. Rahul sir is very talented, understanding in nature and resourceful oncologist. He has done my successful surgery of adenoid cystic carcinoma of right ear canal with parotidectomy surgery. He tells you the complex phenomenon in simple words which easily understands the people. He helps the patient at his level and also gives moral supports to the patient. I am really very happy that I got treatment under him. Thankful to Dr. Rahul buggaveeti for their support.
Sachin Venkatraman
I am really thankful to Dr. Rahul for treating me and saving my life from one of the rarest cancer. The way explain and treat gives a great confidence. The biggest USP is his all time availability either be on call or clinic visit. I had been thru few emergency scenarios and he was always there to treat. Thanks Dr Rahul for everything you have done.
ankit nevatia
My Name is ShivaPrasad. I have recently undergone a Surgery by Dr.Rahul Buggaveeti. Im very thankful to God that he has helped me in meeting Dr.Rahul who is very helpful in explaining, motivating and caring for my Surgery and making it Success. He is very Patient in answering all our doubts and questions. Me and my Family are verymuch thankful to Dr Rahul Sir.🙏
Shiva Prasad
Thanks is not enough to show my gratitude towards Dr Rahul Buggaveeti sir. He has done a successful surgery for mucormycosis (black fungus) to my father. When ever we go for regular checkup, his care and suggestions are immense. We are very fortunate that my father has recovered well. Thank you very much sir 🙏
Sai Kiran Chowdalla
I am out of my way, when knowing about my health condition(thyroid cancer). But at the same time, I am thank full God for showing Dr. Rahul.as my health guru. I have seen so many doctors who are very patient, but he is out of my expectations in patience and talent. We are always proud to have very responsible doctors like him. I always think that doctors are next to god, he has proven that. The quick response to the patient's through online in this pandemic is highly appreciable.
Sudheer Reddy P
Excellent services. Had my uncle treated. Will recommend. Very patient and highly qualified
Avs
Very good doctor,highly experienced doctor gives his utmost to a patient.The team is good and cooperative.
RUPESH GOEL
He is best Oncologist in Hyderabad, I have taken my uncle to him at serious condition, Dr.Rahul Buggaveeti sir did surgery and saved life of my uncle, he takes care of patients very well, he helps the patient and gives moral supports to the patient and patient family members. Thankful to Dr. Rahul Buggaveeti for his support.
Omprakash Samala
Dr rahul buggaveeti is extremely helpful, and incredibly patient in explaining exactly what needs to be done and what he has done. His response is invariably speedy, practical and sensible.
Visu Mannepalli
Dr.Rahul Buggaveeti is one of the finest head and neck surgeons in the country. My father had been consulting Rahul sir for leukoplakia which had later developed into cancer which the doctor had been warning us and had been requesting to come for regular check ups for the last 2+ years. The process of surgery was explained in very much detail, the post surgery care and possible complications and everything else was briefed to us prior to the surgery. The surgery took 11+ hours and Dr. Rahul Buggaveeti sir and his team did it with so much precision and care that my father was able to talk properly and walk and take food within a week's time. We'll be forever indebted for the treatment he gave my dad that he's able to fight cancer and start anew. Thank you sir! 🙏
varun katakam
The way he talks to the patient is simple but patient does not think to have second openion. That's really his greatness. During surgery time and post surgery, he takes care of patient is fantastic and appreciable by regular reviews over phone and physical consultance. It shows his sincere attention on the patient. Being a relative of the patient who was treated by Dr. Rahul Buggaveeti, I am very happy to his approach and treatment which has clarity. Wishing him great success and recommend to all my friends and relatives who needs this kind of treatments.Dr Rahul Saved my cousin from the serious health issue.He Diagnosed the Mouth cancer on time and treated well even after post surgery. His personal care is remarkable .Rahul consistently motivated and showed empathy .Thank u very much
sekhar