Head & Neck Services

Thyroid Nodules:
Thyroid nodules are common and usually benign, but a small proportion can be malignant. Assessment follows the ATA and TI-RADS guidelines, combining ultrasound risk stratification and FNA cytology (Bethesda classification). Surgery is indicated for cancer, compression, indeterminate cytology, or patient preference.

Thyroid Cysts:
Usually benign. Recurrent cysts are managed with aspiration or surgery.

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Thyroid Cancer:
Management is guided by ATA risk stratification. Surgical options include hemithyroidectomy or total thyroidectomy with or without neck dissection.

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Graves’ Disease:
Surgery is considered for severe eye disease, large goitre, or when medical therapy fails. Dr Elango performs total thyroidectomy with routine nerve monitoring.

Suspicious or persistent lymphadenopathy may require biopsy for diagnosis or staging. Ultrasound, PET/CT, or FNA may precede surgical biopsy. Dr Elango performs accurate excisional biopsies with careful preservation of regional anatomy.

These congenital or mucous cysts are managed surgically when recurrent or symptomatic. MRI or ultrasound assists in evaluation. Dr Elango uses targeted neck or intraoral approaches to minimise recurrence and protect vital structures.

Thyroid nodules, cancers, cysts, and parathyroid disorders are evaluated using ultrasound, TIRADS classification, FNA, and biochemical markers. Multidisciplinary input guides decisions for surgery, especially in cancer or complex endocrine cases. Dr Elango performs hemithyroidectomy, total thyroidectomy, and minimally invasive parathyroidectomy or four-gland parathyroidectomy with nerve monitoring, providing safe and effective outcomes for both benign and malignant disease.

Primary Hyperparathyroidism:
Caused by adenomas leading to hypercalcaemia. Investigated with calcium, PTH, sestamibi scan or 4D-CT. Dr Elango performs minimally invasive parathyroidectomy and 4-gland exploration parathyroidectomy.

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Secondary/Tertiary Hyperparathyroidism:
Seen in CKD patients. Requires subtotal or total parathyroidectomy. Managed in conjunction with nephrologists and endocrinologists.

Head and neck skin cancers require precise excision to balance oncologic control with aesthetic and functional outcomes. Dr Elango, with fellowship training in head and neck surgery, provides wide local excision with appropriate margins, subsequent reconstruction and MDT-supported melanoma care.

Obstructive stones or neoplasms in the parotid/submandibular glands may cause swelling and pain. Dr Elango uses ultrasound and MRI for assessment and offers gland-preserving or gland-removing surgery as required. Oncologic lesions are managed in conjunction with MDTs.

Oral SCC and mucosal lesions are diagnosed via biopsy and staged with imaging. MDT discussion ensures comprehensive care. Dr Elango performs local resection, neck dissection when indicated, and collaborates for adjuvant therapy planning.