Speciality
Spotlight

   




   

Surgery


   

 





Parathyroid


  

  • H
    Chen, S Parkerson, R Udelsman (Johns Hopkins Hosp,
    Baltimore, Md):


    Parathyroidectomy
    in the elderly: Do the benefits outweigh the risks?
      


    World J
    Surg  22:531-536, 1998.

           

    The
    incidence of hyperparathyroidism 
    (HPT) in the elderly is over 1.5%;
    parathyroidectomy is the treatment of choice in these
    patients.

         

  • Song AU, Phillips TE, Edmond CV, et al
    (Lasky Clinic, Beverly Hills, Calif; Fort Rucker Army Hosp, Enterprise, Ala; Cascade
    ENT, Puyallup, Wash; et al)

    Success of Preoperative Imaging and Unilateral Neck Exploration for Primary
    Hyperparathyroidism.

    Otolaryngol Head Neck Surg 121: 393-397, 1999

       

    Ninety-one patients of primary hyperparathyroidism were operated over a period of 6 yrs by 2 experienced surgeons.

        

    Preoperative 99mTc sestamibi scanning is reliable in planning unilateral exploration. If one gland is enlarged, it is excised and the other gland
    biopsied. If none shows enlargement bilateral exploration is advised. Authors report cure rate of 90%.

       

    Editor, R.A.Otto’s comment: Opponents of this approach feel that more than one adenomas are found and therefore preoperative imaging has limited value. With rapid intraoperative parathyroid hormone assays, this issue will be less important

          



 

   

Speciality Spotlight

   

   
Surgery
   

 

Parathyroid
  

  • H Chen, S Parkerson, R Udelsman (Johns Hopkins Hosp, Baltimore, Md):
    Parathyroidectomy in the elderly: Do the benefits outweigh the risks?
      
    World J Surg  22:531-536, 1998.
           
    The incidence of hyperparathyroidism  (HPT) in the elderly is over 1.5%; parathyroidectomy is the treatment of choice in these patients.
         

  • Song AU, Phillips TE, Edmond CV, et al (Lasky Clinic, Beverly Hills, Calif; Fort Rucker Army Hosp, Enterprise, Ala; Cascade ENT, Puyallup, Wash; et al)
    Success of Preoperative Imaging and Unilateral Neck Exploration for Primary Hyperparathyroidism.
    Otolaryngol Head Neck Surg 121: 393-397, 1999
       
    Ninety-one patients of primary hyperparathyroidism were operated over a period of 6 yrs by 2 experienced surgeons.
        
    Preoperative 99mTc sestamibi scanning is reliable in planning unilateral exploration. If one gland is enlarged, it is excised and the other gland biopsied. If none shows enlargement bilateral exploration is advised. Authors report cure rate of 90%.
       
    Editor, R.A.Otto’s comment: Opponents of this approach feel that more than one adenomas are found and therefore preoperative imaging has limited value. With rapid intraoperative parathyroid hormone assays, this issue will be less important
          

 

By |2022-07-20T16:43:47+00:00July 20, 2022|Uncategorized|Comments Off on Parathyroid

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