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Head & Neck Cancer Surgery

Parathyroidectomy in Chennai — Focused Surgery for Hyperparathyroidism

Experienced head & neck team • Image-guided focused approach • Voice protection

Head and neck surgeon reviewing parathyroid localisation imaging at THANC Hospital, Chennai
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The parathyroids are tiny, pea-sized glands, but they control the calcium in every cell of your body. This page explains how THANC plans parathyroid surgery around accurate localisation, voice safety and long-term bone and kidney health.

About Parathyroidectomy at THANC

Parathyroidectomy is the removal of an overactive parathyroid gland — most commonly a single adenoma causing primary hyperparathyroidism. At THANC, our head and neck team performs focused, image-guided parathyroidectomy using ultrasound and sestamibi-based localisation to target the abnormal gland through a small neck incision. Intra-operative nerve monitoring protects the voice, and biochemical confirmation guides a precise cure, not a blind search.

Who Needs Parathyroidectomy?

You may be a candidate if you experience any of the following:

  • Primary hyperparathyroidism with raised calcium and PTH
  • Kidney stones, fragility fractures or osteoporosis linked to hyperparathyroidism
  • Unexplained fatigue, muscle weakness or neuropsychiatric symptoms from high calcium
  • Parathyroid adenoma localised on ultrasound and sestamibi scan or 4D-CT
  • Persistent or recurrent hyperparathyroidism after previous neck surgery
  • Selected secondary or tertiary hyperparathyroidism with medical treatment failure

What to Expect

A clear step-by-step view of your treatment journey at THANC.

  1. 1

    Confirmation & Localisation

    Blood tests confirm the biochemical pattern and imaging — ultrasound, sestamibi scan or 4D-CT — localises the abnormal gland. A careful voice check and thyroid assessment complete the pre-operative work-up.

  2. 2

    Focused Surgery

    Performed under general anaesthesia through a small, well-placed neck incision. The surgeon carefully protects the recurrent laryngeal nerve and normal parathyroid glands, removes the overactive gland and sends it for histopathology.

  3. 3

    Cure Confirmation & Stay

    Intra-operative PTH testing, when available, confirms a cure on the operating table. Most patients stay one night for calcium and voice observation, and go home with simple oral supplements as needed.

  4. 4

    Follow-up

    Early serum calcium and PTH confirm the biochemical cure. A wound check at 1 week and an endocrine review at 4 to 6 weeks plan long-term bone and kidney follow-up.

Why Patients Trust THANC for Head & Neck Surgery

Head and neck cancer and gland surgery at THANC is delivered by a multidisciplinary team built around the operating surgeon, anaesthesia, pathology, and rehabilitation. Every plan is tailored to your tumour stage, voice needs, and swallowing function — with world-class care at affordable rates.

  • Senior head and neck surgeons with high-volume gland and oncology experience
  • Multidisciplinary tumour review before every major case
  • Voice, swallowing and shoulder rehabilitation integrated into recovery
  • Nerve-monitoring for thyroid, parathyroid and parotid surgery
  • Onco-pathology and frozen-section support during surgery
  • Personalised estimate prepared after consultation and imaging review

Frequently Asked Questions

Will I need to take tablets for calcium after parathyroidectomy?
Most patients need only a short course of calcium and vitamin D supplements as the remaining parathyroid glands wake up. Long-term supplementation is usually not required after successful focused parathyroidectomy.
How small is the scar after parathyroid surgery?
Focused parathyroidectomy uses a small, well-placed incision in a natural neck crease — typically only a few centimetres. Once healed, it fades into the skin crease and is usually barely noticeable.
Is parathyroidectomy the only treatment for hyperparathyroidism?
For most patients with symptomatic primary hyperparathyroidism, surgery is the definitive cure. Selected mild, asymptomatic cases can sometimes be monitored, and that decision is made together with your endocrinologist.
Will my voice be affected by parathyroid surgery?
The recurrent laryngeal nerve that controls the voice is carefully identified and protected, often with intra-operative nerve monitoring. Temporary mild hoarseness from the breathing tube can occur but usually recovers quickly.
Will THANC provide a personalised estimate for parathyroid surgery?
Yes. After your consultation, biochemistry and imaging review, our team shares a written, case-specific estimate based on focused or bilateral exploration. THANC's rates are consistently lower than prevailing market rates in Chennai.

Related Reading

Patient guides and educational articles on related topics.

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Part of the Thyroid & Parathyroid Surgery Department

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Parathyroidectomy at THANC

  • Senior head and neck surgeons with high-volume gland and oncology experience
  • Multidisciplinary tumour review before every major case
  • Voice, swallowing and shoulder rehabilitation integrated into recovery
  • Nerve-monitoring for thyroid, parathyroid and parotid surgery
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