Parathyroid re-exploration Journal Article
| Author: | Shaha, A. R. |
| Article Title: | Parathyroid re-exploration |
| Abstract: | Reoperation parathyroid surgery is always a challenge for the endocrine surgeon. The surgeon must confirm the diagnosis of primary hyperparathyroidism, use appropriate localization studies, exercise critical intraoperative decision making as to the location of the parathyroid glands, and understand their abnormalities. The general consensus is to proceed with appropriate localization studies, to document the location of the parathyroid gland, and to conduct surgical exploration with special attention to the recurrent laryngeal nerve, not removing tissue that appears to be normal parathyroid glands. It is important to rule out parathyroid carcinoma. The details of the initial surgical procedure are extremely critical. The surgeon should be prepared for autotransplantation, if necessary (Fig. 22). |
| Keywords: | treatment failure; histopathology; review; nuclear magnetic resonance imaging; preoperative evaluation; treatment indication; recurrence; thymus; blood sampling; echography; endoscopic surgery; reoperation; surgical risk; hyperparathyroidism; minimally invasive surgery; thyroid carcinoma; diagnostic test; thyroid gland; parathyroid hormone; laryngoscopy; clinical examination; hormone determination; parathyroid gland; gamma radiation; endocrine surgery; parathyroidectomy; recurrent laryngeal nerve palsy; aminocaproic acid; thyroid hyperplasia; thyroid adenoma; calcium urine level; 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: | 833 |
| End Page: | 843 |
| Language: | English |
| DOI: | 10.1016/j.otc.2004.02.013 |
| PROVIDER: | scopus |
| PUBMED: | 15262519 |
| DOI/URL: | |
| Notes: | Otolaryngol. Clin. North Am. -- Cited By (since 1996):4 -- Export Date: 16 June 2014 -- CODEN: OCNAB -- Source: Scopus |
