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Pedicled parathyroid gland autotransposition in secondary and tertiary hyperparathyroidism

Tom Shokri1, Susie Q Lew, Nader Sadeghi

  • 1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, George Washington University School of Medicine and Health Sciences, Washington, DC, U.S.A.

The Laryngoscope
|October 8, 2014
PubMed
Abstract

No abstract available in PubMed .

Keywords:
Parathyroidectomyend-stage renal diseasehyperparathyroidismparathyroid autotransplantationparathyroid autotranspositionparathyroid hormone

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The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
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Hyperthyroidism is a hypermetabolic state caused by elevated levels of thyroid hormones, triiodothyronine (T3) and thyroxine (T4). It results from dysregulation at the thyroid, pituitary, or immune system level and affects multiple organ systems.PathophysiologyThe most common cause of hyperthyroidism is Graves’ disease, an autoimmune disorder in which antibodies, specifically thyroid-stimulating antibodies (TSAb), a subtype of TSH receptor antibodies (TRAb), bind to and activate TSH...
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