Unilateral and bilateral surgery for parathyroid disease Journal Article
| Authors: | Gross, N. D.; Wax, M. K. |
| Article Title: | Unilateral and bilateral surgery for parathyroid disease |
| Abstract: | The goal of parathyroid surgery, extirpation of all disease with the least possible patient morbidity, is the same regardless of the approach. According to this aim, it may be difficult for the neophyte surgeon to determine which approach is most appropriate. Bilateral exploration offers the potential of identifying and removing all disease with a single operation, whereas unilateral surgery carries the promise of decreased morbidity. Unfortunately, a cursory review of the literature is not as helpful as one would expect. The sheer volume of studies on parathyroid surgery can prove to be an insurmountable review task for any active clinician: the PubMed National Library of Medicine (available at: http://www.ncbi.nlm.nih.gov/entrez) has 2347 citations between 1993 and 2003. Further, numerous contradictory reports fail to define accurately the nuances of clinical management. In the end, the choice of technique may have more to do with surgeon preference and experience than with science. As Edward D. Churchill stated in 1931, "The success of parathyroid surgery must lie in the ability of the surgeon to know a parathyroid gland when he sees it. |
| Keywords: | treatment outcome; review; head and neck surgery; patient selection; nuclear magnetic resonance imaging; positron emission tomography; preoperative evaluation; computer assisted tomography; calcium; hypercalcemia; patient monitoring; postoperative complication; cost effectiveness analysis; adenoma; vitamin d; operation duration; methoxy isobutyl isonitrile technetium tc 99m; hyperparathyroidism; thyroidectomy; vitamin supplementation; parathyroid neoplasms; postoperative infection; postoperative hemorrhage; parathyroid adenoma; hematoma; parathyroid hormone; parathyroid hormone blood level; sternotomy; cost of illness; hypocalcemia; hormone determination; parathyroidectomy; recurrent laryngeal nerve palsy; multiple endocrine neoplasia; parathyroid hyperplasia; humans; human; parathyroid disease |
| Journal Title: | Otolaryngologic Clinics of North America |
| Volume: | 37 |
| Issue: | 4 |
| ISSN: | 0030-6665 |
| Publisher: | Elsevier Inc. |
| Date Published: | 2004-08-01 |
| Start Page: | 799 |
| End Page: | 817 |
| Language: | English |
| DOI: | 10.1016/j.otc.2004.02.011 |
| PROVIDER: | scopus |
| PUBMED: | 15262517 |
| DOI/URL: | |
| Notes: | Otolaryngol. Clin. North Am. -- Cited By (since 1996):1 -- Export Date: 16 June 2014 -- CODEN: OCNAB -- Source: Scopus |
