Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Unintentional parathyroidectomy during thyroidectomy.

N J Lee1, J D Blakey, S Bhuta

  • 1Department of Surgery, University of California, Los Angeles School of Medicine, USA.

The Laryngoscope
|August 12, 1999
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Paroxysmal dyspnoea in asthma: Wheeze, ILO or dysfunctional breathing?

Frontiers in allergy·2022
Same author

Neural changes after Emotional Freedom Techniques treatment for chronic pain sufferers.

Complementary therapies in clinical practice·2022
Same author

Transcatheter arterial embolization for iatrogenic bleeding after endoscopic ultrasound-guided pancreaticobiliary drainage.

Diagnostic and interventional imaging·2018
Same author

Osteoglycin, a novel coordinator of bone and glucose homeostasis.

Molecular metabolism·2018
Same author

Central RANK signalling in NPY neurons alters bone mass in male mice.

Neuropeptides·2018
Same author

Oxygen exchange and C-reactive protein predict safe discharge in patients with H1N1 influenza.

QJM : monthly journal of the Association of Physicians·2016

Unintentional parathyroidectomy during thyroidectomy occurred in 11% of cases, with no permanent hypocalcemia. Meticulous inspection of the thyroid capsule may reduce incidental parathyroid tissue removal.

Area of Science:

  • Endocrinology
  • Surgical Pathology
  • Head and Neck Surgery

Background:

  • Thyroidectomy is a common surgery in the US.
  • Incidental parathyroid tissue is often found in thyroidectomy specimens.
  • Understanding unintentional parathyroidectomy is crucial for surgical outcomes.

Purpose of the Study:

  • To investigate the pathological and clinical features of unintentional parathyroidectomy during thyroidectomy.
  • To determine the incidence and characteristics of parathyroid tissue found in thyroidectomy specimens.

Main Methods:

  • Retrospective review of thyroidectomies performed between 1989 and 1998.
  • Analysis of pathology reports for incidental parathyroid tissue.
  • Review of slides to determine incidence, size, location, and clinical consequences.

Related Experiment Videos

Main Results:

  • 11% (45 of 414) of thyroidectomies had incidental parathyroid tissue.
  • Parathyroid tissue was found in extracapsular (58%), intracapsular (20%), and intrathyroidal (22%) locations.
  • No patients developed permanent hypocalcemia; two had temporary recurrent laryngeal nerve paralysis due to intentional nerve resection.

Conclusions:

  • Incidental parathyroid tissue in thyroidectomy specimens is common (11%) but rarely causes clinical issues like hypocalcemia.
  • Most incidental parathyroid tissue is located outside or within the capsule of the thyroid gland.
  • Improved surgical technique focusing on thyroid capsule inspection may decrease unintentional parathyroidectomy rates.