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Surgical management of the parathyroids
Greg A Krempl1, Jesus E Medina, Anna L Bouknight
1Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP1360, Oklahoma City, OK 73190, USA.
Otolaryngologic Clinics of North America
|June 14, 2003
Abstract:
The recent advance of intraoperative PTH monitoring combined with preoperative localization techniques allow for minimally invasive parathyroid surgery in 75% to 85% of cases. In cases where a single adenoma is identified, minimally invasive techniques should result in a need for repeat surgery in only 2% of cases. The cost of intraoperative PTH assays of localization and gamma probes limits their availability. Complications of parathyroidectomy are uncommon, but appropriate management is important, particularly for patients with hypocalcemia.