How to preserve the parathyroid glands during thyroid surgery Book Section

  


Authors: Shaha, A. R.; de Araujo Filho, V. J. F.
Editor: Cernea, C. R.
Article/Chapter Title: How to preserve the parathyroid glands during thyroid surgery
Abstract: Since Ivor Sandstrom described parathyroid glands in humans, there has been considerable interest in their function and preservation, particularly during total thyroidectomy. One of the serious complications of total thyroidectomy is temporary (25-30%) or permanent hypoparathyroidism (2-3%). The morbidity from permanent hypoparathyroidism is considerable, with a lifetime requirement of calcium and vitamin D. These small, elusive glands are crucial to sustain good health in patients undergoing total thyroidectomy. Serial calcium levels are helpful and the trending of calcium levels between 8 and 23 h is helpful. Parathormone assay has also been helpful regarding safe discharge of the patients.
Keywords: Head surgery; Neck surgery; head and neck neoplasms surgery
Book Title: Pearls and Pitfalls in Head and Neck Surgery: Practical Tips to Minimize Complications. 1st ed
ISBN: 978-3-8055-8425-8
Publisher: S. Karger AG  
Publication Place: Basel, Switzerland
Date Published: 2008-01-01
Start Page: 8
End Page: 9
Language: English
PROVIDER: manual
Notes: Book Chapter: 1.4