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Your thyroid is a small gland found at the base of your neck, just above the collarbone. It has two lobes shaped like butterfly wings that wrap around the sides of your windpipe. A normal functioning thyroid cannot be visibly seen or felt with normal finger pressure.

Your thyroid is part of the endocrine system and is responsible for making sure your body uses energy properly by releasing a hormone that helps regulate your metabolism. Your thyroid controls metabolism in every body system – from how your hair grows, to how your toenails grow, and everything in between.

Scarless Thyroid Surgery
The scarless thyroidectomy procedure allows the surgeon to access the thyroid gland through the patient’s mouth, which is referred to as a “transoral” approach. Unlike traditional thyroid surgery, which leaves a noticeable scar on the patient’s neck, this surgery doesn’t leave any outwardly visible scarring. Endocrine surgeons, Christina Maser, MD, and Farah Karipineni, MD, performed the first scarless thyroidectomy in the Valley on December 13, 2018, at Fresno Heart and Surgical Hospital in North Fresno.

Thyroid Disease
Thyroid disease typically occurs when your thyroid is overactive or underactive; releasing too many or too few hormones. Thyroid disease can also be in the form of growths within the thyroid called thyroid nodules. These can be either benign (non-cancerous) or malignant (cancerous) growths. Read More »

Hyperthyroidism (Overactive thyroid)
Over activity of the thyroid gland leads to increased metabolism in every body system. This can occur due to inflammation of the thyroid or it can be due to growth of the thyroid. Read More »

Hypothyroidism (Underactive thyroid)
Under-activity of the thyroid gland leads to a decrease in metabolism. This typically happens because of a disease called Hashimoto’s thyroiditis. Read More »

Thyroid Nodules
Thyroid nodules, or growths within the thyroid, are usually seen in patients who have a normally working thyroid gland. Thyroid nodules are lumps that are solid or filled with fluid that form within your thyroid. Read More »

Treatment of Cancer of the Thyroid
The most common cancer found in the thyroid is Papillary Thyroid Cancer. The main treatment is surgical removal followed by radioactive iodine ablation therapy (RAI). Read More »

What to Expect
Once your doctor has recommended that you be evaluated by an endocrine surgeon, they will forward information to the surgeon regarding your diagnosis. There will be some basic paperwork to fill out prior to the visit. Completing this paperwork prior to your appointment will make your visit go smoothly. It is necessary to list all medications and supplements that you take, as well as any and all medical problems and surgeries. We make efforts to obtain all of your test results, but if you have specific testing done please mention that as well so we can obtain those results. If more testing is required, we will help to arrange that. Ultrasounds and biopsies can sometimes be done in the office, but this may require an additional appointment depending on the schedule for the day. Typically surgery can be schedule within weeks after your appointment.

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What to Expect During Surgery
Typically, we either recommend taking out half, or all of the thyroid. If a patient has a nodule on one side of the thyroid which is either indeterminate according to the list above, or benign but enlarging, a hemi-thyroidectomy can be an option. Read More »

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