endocrine surgeon sydney

Specialist Endocrine Surgery

Associate Professor Niles is a qualified specialist in endocrine surgery, offering a wide range of head and neck surgical procedures, specialising in thyroid, parathyroid, adrenal and salivary gland surgery.

Associate Professor Navin Niles pioneered Robot Assisted Thyroid surgery in Australia. This makes Associate Professor Navin Niles the most experienced surgeon in the removal of the thyroid with no neck incision, having set the benchmark in scarless neck thyroid surgery.  He is the first surgeon in New South Wales to perform Trans Oral Thyroid Surgery.

This expertise allows Associate Professor Navin Niles and his team to offer patients a broader spectrum of care and most importantly, gives patients greater autonomy and choice for individualised treatment.

“I will share your joy and sorrow / Till we’ve seen this journey through”

Paul Kalanithi, When Breath Becomes Air

Hemithyroidectomy

Hemithyroidectomy means the removal of one of the thyroid lobes. It is the surgical procedure of choice for the management of a solitary thyroid nodule. 

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Parotidectomy

Parotidectomy means the removal of part of the parotid gland. It is the surgical procedure of choice for cancer of the parotid, cancer that has spread to the parotid from elsewhere and parotid nodules that may become cancer or are uncertain to contain cancer.

Parotidectomy

Parathyroidectomy

Parathyroidectomy means removal of one or more of the parathyroid glands. It is the surgical procedure of choice for management of overactive parathyroid glands.

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Thyroidectomy

Thyroidectomy means the removal of both of the thyroid lobes. It is the surgical procedure of choice for thyroid cancer, obstructive symptoms, overactive thyroid and cosmetic disfigurement. 

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Parotidectomy
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Frequently Asked Questions

Please see below for answers to our FAQ’s. In addition to this, you will find a range of information sheets over at our Services page. If you require further assistance, then feel free to email us via the Contact page. 

The reasons for removing a nodule (lump) from the thyroid include – it causes symptoms including difficulty swallowing, it is cosmetically concerning, it is overactive, it is cancer. The aim of investigation of a thyroid nodule is to exclude these reasons and so to, if possible, avoid needing surgery.

Many people think a thyroid nodule is not part of the thyroid. In fact, the nodule is within the thyroid. Its removal usually requires the removal of half (hemithyroidectomy) or the whole thyroid gland (total thyroidectomy).

Not because of your surgery. Weight loss or gain is as a result of an imbalance between energy intake and expenditure. Ideally, thyroid hormone levels following surgery can be adjusted by administration of thyroid hormone to be within the normal range. In these circumstances, surgery or being on thyroxine replacement are not responsible for weight gain or loss.

The lymph nodes removed in neck dissection are in the order of 25% of the lymph nodes of the entire head and neck, which are only a fraction of the nodes in the entire body. Whilst it is possible that recovery from surgery and other treatment may render the patient less able to avoid some infections, this is more to do with general conditioning than the effect of lymph node removal.

No. The high level of calcium in the blood of a person with hyperparathyroidism is largely because the bones are being stripped of calcium. In the presence of high levels of parathyroid hormone (hyperparathyroidism), it is not possible for calcium to be laid down to strengthen bones.

It is fairly normal for even a perfectly healing wound on the neck to become darker over the first 6 months of healing before eventually fading. It is true however that it is most unusual for the scar to disappear, and that someone who has had surgery will always be able to see the scar.

As discussed on the parotid surgery page, the key to parotid surgery is the identification and preservation of the facial nerve. This nerve exists at the base of the skull about 4cm deep to the skin of the earlobe. Because the nerve is deep at this point, and this is the safest place to identify the nerve, the incision needs to be large enough to afford a good view. Once the nerve is found, the branches of the nerve need to be traced through the gland, past the tumour to allow for the safe removal of the tumour.

A/Prof Niles is a General Surgeon. Most General Surgeons contribute to the local community by taking part in an on-call roster at their local hospital to provide Emergency and Trauma Surgery cover. So, when A/Prof Niles is on-call at either the Northern Beaches, Sydney Adventist, Norwest or Liverpool Hospitals, he is required to care for those people who present to the Emergency Department with general surgical problems. This workload varies considerably, but can include appendicitis, cholecystitis, bowel obstruction and traumatic injuries to name just a few. Our aim is to provide excellent surgical care to any patients whose care we are entrusted.

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Endocrine Surgeon in Liverpool Sydney

The glands of this system include the hypothalamus, pituitary gland, thyroid gland, parathyroid gland, adrenal glands and pancreas. An endocrinologist helps with disorders related to any or all of these organs.

Associate Professor Navin Niles is an accomplished Endocrine and Head & Neck Surgeon who specialises in thyroid, parathyroid, adrenal and salivary gland surgery – performing over 400 endocrine procedures annually. As a pioneer of robot-assisted thyroid surgery in Australia, he is the most experienced surgeon in the removal of the thyroid with no neck incision, having set the benchmark in scarless neck thyroid surgery. This expertise allows Navin Niles and his team to offer patients a broader spectrum of care and most importantly, gives patients greater autonomy and choice for individualised treatment whilst being as minimally invasive as possible.

DISCLAIMER: All surgical procedures carry risks. Before proceeding, you should consult a surgeon with a FRACS qualification. For endocrine procedures, you should consult a member of ANZ Endocrine Surgeons.