Endocrine & Salivary Gland Surgery

Endocrine & Salivary Gland Surgery Gold Coast.

Dr Clement has advanced training in endocrine and salivary gland neck surgery and can perform expert thyroid, parathyroid, adrenal gland and salivary gland surgeries.

Thyroid conditions

Dr Clement offers specialist surgical treatment of the following thyroid conditions:

  • Goitre (enlarged thyroid gland)

  • Thyroid nodules and cysts

  • Thyroid cancer

  • Grave’s disease

  • Hashimoto’s thyroiditis

  • Thyroglossal cyst

Thyroid surgery includes Hemithyroidectomy & total thyroidectomy

Hemithyroidectomy:

Hemithyroidectomy is the removal of one half of the thyroid gland. You may need hemithyroidectomy for the following reasons:

  • Suspicious thyroid nodule or suspected thyroid cancer.

  • Goitre/nodule causing compressive symptoms (difficulty swallowing, speaking, breathing, coughing, and pain/fullness/discomfort in the neck).

  • Hyperthyroidism (overactive thyroid) due to a solitary nodule.

  • Large thyroid gland (Goitre) affecting the cosmetic appearance of the neck.

Total thyroidectomy:

Total thyroidectomy is where the entire thyroid gland is removed.

You may need total thyroidectomy for the following reasons:

  • Thyroid cancer.

  • Enlarged thyroid gland (Goitre) with compressive symptoms (difficulty swallowing, speaking, breathing, coughing, and pain/fullness/discomfort in the neck).

  • Over-active thyroid (Grave’s disease) where the medical management is not effective or contraindicated.

  • Large thyroid gland (Goitre) affecting the cosmetic appearance of the neck.

Parathyroid conditions

Parathyroid glands are usually located in the neck, which produce parathyroid hormone (PTH). Sometimes they can be as low as in the chest cavity.

Overactive parathyroid glands or hyperparathyroidism can be asymptomatic or incidentally picked up on a blood test. Treatment include watchful waiting or surgery.

Parathyroid surgery (Parathyroidectomy) is usually indicated if you have one or more overactive glands causing high calcium in your blood (hyperparathyroidism). Parathyroidectomy can remove the abnormal gland or glands. Most often this abnormal gland is benign (not a cancer). Over 95% of patients are cured after surgery. Parathyroid cancer is exceedingly rare.


Adrenal gland surgery

Adrenal glands are small glands that sit on top of the kidneys. Adrenal surgery is required in patients with an overactive adrenal gland due to a tumour producing excessive hormones. This can lead to:

  • Cushing’s syndrome – excess cortisol producing adrenal tumour causing high blood pressure, diabetes, weight gain, moon face, and thin skin.

  • Conn’s syndrome – excess aldosterone hormone producing tumour causing fluid and salt retention, and high blood pressure.

  • Phaeochromocytoma – excess adrenaline and noradrenaline producing tumour causing very high blood pressure. This is a serious condition affecting your heart.

Dr Clement works in conjunction with endocrinologists and offers both open and minimally invasive laparoscopic adrenal surgery.

Dr Clement also specialises in laparoscopic posterior adrenalectomy, where the surgery is performed through three small incisions on your back. This technique is known to offer superior outcomes when compared to the other techniques. The advantages include:

  • Less operating time

  • Less blood loss

  • Less scarring

  • Less post-operative pain

  • Faster recovery and shorter hospital stay (usually discharged home the following day)

  • Faster return to normal activities


Neck dissection

Neck dissection is an operation where the lymph nodes of the neck are removed either because of known or suspected cancer that has spread into the lymph glands of the neck.

There are several types of neck dissection and the type you will have will depend on the type and location of cancer and whether it has spread to your lymph glands:

  • Selective neck dissection - where selected groups of lymph glands are removed.

  • Comprehensive neck dissection (radical or modified radical) - where in addition to the lymph glands other structures such as the neck muscle, nerve which allows you to shrug your shoulders, and veins may need to be removed.

Salivary gland conditions

There are three pairs of salivary glands in the mouth and throat (parotid, submandibular and sublingual glands). Salivary gland enlargement may need surgery.

Salivary gland can get enlarged due to stone blocking the duct or maybe due to a tumour (benign or cancer).

Salivary gland stones:

Salivary gland stones may block the duct and can cause swelling, pain and infection. The most commonly affected gland is the submandibular gland duct.

The risk of stones is higher in smokers, dehydration, trauma and some medications.

Small stones may pass by itself, however larger stones and in patients with symptoms surgery may be required.

Salivary gland tumours:

Salivary gland tumours are most commonly found within the parotid gland. The majority of parotid tumours are benign (not a cancer). Certain types of benign tumours in time can become a cancer if left untreated. Salivary gland surgery is recommended in certain type of tumours. 

In salivary gland cancer, surgery and or radiotherapy may be required. Dr Clement will discuss your options thoroughly during your consultation at Gold Coast Breast & Endocrine Surgery.