Location in Graz
Thyroid, Endocrine and Osteoporosis
Institute Dobnig GmbH
Electoral institute
Location in Vienna
Practice for thyroid
radiofrequency ablation

Univ.Prof.Dr.Harald Dobnig
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Thyroid, Endocrine and Osteoporosis Institute Dobnig GmbH
Special services, conservative treatment options
  Ablation of nodules and cysts (radiofrequency ablation)   Ablation of cysts (alcohol ablation, sometimes RFA)   Reduction of thyroid gland size Treatment of thyrotoxicosis (radioiodine therapy)
Why should one consider non-surgical alternatives?
  Our institute is one of the few in Europe that offers a unique spectrum of methods for the diagnosis and treatment of thyroid nodules and cysts.
Our goal is optimum clarification/diagnosis and, whenever possible, conservative (i.e. non-surgical) treatment of nodules and cysts. In many cases we enable the patient to avoid thyroid surgery.
 
Thyroid surgery is often recommended to patients because of the presence of a large thyroid cyst, or "cold nodule", which is suspected to be cancerous, or because of bothersome symptoms (difficulty swallowing, strange feeling in the neck) caused by large, frequently readily visible nodules. The most frequent outcome of surgery is, however, merely a benign histological diagnosis of the nodule or cyst. According to a recent, highly-ranked American study (Hauch et al., Annals of Surgical Oncology, 2014) thyroid surgery is frequently associated with transient or even enduring complications (7 to 11% when one thyroid lobe is removed, and 14 to 24% when the thyroid gland is completely removed). Another key factor in this regard is how often the surgeon in question carries out thyroid surgery.
 
Possible disadvantages of thyroid surgery
If surgery is chosen, the following are unavoidable: hospital admission, a convalescence period (typically 2 weeks), a permanent scar in the neck region, as well as in many cases a life-long thyroid medication/regular check-ups and an associated risk of under or over-dosage. According to studies, in 5 to 10% of patients incur temporary (days to months) or in a lower percentage persistent damage to the laryngeal nerve and attendant vocal impairment, which, of course, can be a significant problem for certain professions. Occasionally, the so-called "parathyroid glands" are unintentionally removed, especially in cases in which the entire thyroid gland is removed (total thyroidectomy), These lentil-sized glands which are located close to the thyroid, secrete a hormone that plays a central role in the regulation of calcium and phosphorus metabolism. A loss of parathyroid tissue requires lifelong, calcium and vitamin D supplementation and regular check-ups to ensure proper calcium and phosphorus levels and renal function. The time spent in hospital and in convalescence is often an organizational and financial burden for the self-employed, and for mothers of young children.
 
Given the above issues, it would appear reasonable to explore whether or not there are alternative ways to treat thyroid cysts and/or nodules.
 
Besucherzähler
 seit 8.10.2012
 
  Thyroid, Endocrine and Osteoporosis Institute Dobnig GmbH
Univ.Prof.Dr.H.Dobnig
Jakob-Redtenbachergasse 10, 8010 Graz
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