scholarly journals Tips for Preservation of Parathyroid Gland During Thyroid Surgery

2021 ◽  
Vol 14 (2) ◽  
pp. 93-97
Author(s):  
Jung-Han Kim
Keyword(s):  
Parathyroid Gland ◽  
Thyroid Surgery

Primary hyperparathyroidism after thyroid surgery and autotransplantion of parathyroid gland

2018 ◽  
Author(s):  
Bernardo Marques ◽  
Raquel Martins ◽  
Joana Couto ◽  
Jacinta Santos ◽  
Teresa Martins ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Thyroid Surgery

scholarly journals Identifying Recurrent Laryngeal Nerve in Thyroid Surgery Using Relationship with Superior Parathyroid Gland and Tubercle of Zuckerkandl

2015 ◽  
Vol 23 (3) ◽  
pp. 99-103
Author(s):  
Somesh Mozumder ◽  
Shirish Dubey ◽  
Aniruddha Dam ◽  
Anup Kumar Bhowmick
Keyword(s):  
Prospective Study ◽  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Intimate Relationship ◽  
Laryngeal Nerve ◽  
Laryngeal Nerves ◽  
Recurrent Laryngeal Nerves ◽  
A Prospective Study ◽  
Relationship Of

Introduction: Recurrent laryngeal nerves (RLN) are particularly prone to injury during thyroid surgeries due to its intimate relationship and proximity with the gland. Zuckerkandl’s tubercle (ZT) helps in preserving RLN intra operative. Material and Methods: A prospective study for identifying RLN in thyroid surgery using relationship with superior parathyroid gland and tubercle of Zuckerkandl was conducted on 50 thyroidectomy patients between August 2013 and February 2014. Results: In all cases ZT was identified. Temporary paralysis of RLN was seen in 3 (6%) cases and permanent paralysis in 2 (4%) of cases. Discussion: The site of greatest risk during thyroidectomy to the RLN is in the last 2-3 cm extralaryngeal course of the nerve. Relationship of recurrent laryngeal nerve with superior parathyroid gland and tubercle of Zukerkandl (ZT) is known. Conclusion: Use of ZT and superior parathyroids as a landmark allows safe dissection of RLN.

scholarly journals Parathyroid gland angiography with indocyanine green fluorescence to predict parathyroid function after thyroid surgery

2016 ◽  
Vol 103 (5) ◽  
pp. 537-543 ◽  
Author(s):  
J. Vidal Fortuny ◽  
V. Belfontali ◽  
S. M. Sadowski ◽  
W. Karenovics ◽  
S. Guigard ◽  
...  
Keyword(s):  
Indocyanine Green ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Green Fluorescence ◽  
Indocyanine Green Fluorescence ◽  
Parathyroid Function

scholarly journals Incidental Parathyroid Disease during Thyroid Surgery: Should We Remove Them?

ISRN Surgery ◽  
2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
S. Helme ◽  
A. Lulsegged ◽  
P. Sinha
Keyword(s):  
Primary Hyperparathyroidism ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Parathyroid Tissue ◽  
Neck Surgery ◽  
Safe Procedure ◽  
Preclinical Phase ◽  
Abnormal Parathyroid Gland ◽  
Parathyroid Disease ◽  
History Of

Aim. Despite an incidence of parathyroid “incidentalomas” of 0.2%–4.5%, only approximately 135 cases have been reported in the literature. We present eight patients in whom an incidental abnormal parathyroid gland was found during routine thyroid surgery. We have reviewed the literature and postulate whether these glands could represent further evidence of a preclinical stage of primary hyperparathyroidism. Methods. A retrospective analysis of all 236 thyroid operations performed by a single surgeon was performed to identify patients in whom abnormal parathyroid tissue was removed at surgery. Results. 8/236 patients (3.39%) had a single macroscopically abnormal parathyroid gland removed and sent for analysis. Seven patients were found to have histological evidence of a parathyroid adenoma or hyperplasia. None of the patients had abnormal serum calcium detected preoperatively. Postoperatively, four patients had normal calcium, three had temporary hypocalcaemia and one refused followup. No patients had recurrent laryngeal nerve impairment. Conclusions. Despite the risk of removing a histologically normal gland, we believe that when parathyroid “incidentalomas” are found during surgery they should be excised and sent for histological analysis. We have found this to be a safe procedure with minimal morbidity to the patient. As the natural history of primary hyperparathyroidism is better understood, these glands found in normocalcaemic patients may in fact represent the early or preclinical phase of the disease. By removing them at the original operation, the patient is saved redo neck surgery with its high complication rate as or when clinically apparent primary hyperparthryoidism develops in the future.

The Impact of Single Parathyroid Gland Autotransplantation During Thyroid Surgery on Postoperative Hypoparathyroidism: A Multicenter Study

2007 ◽  
Vol 39 (1) ◽  
pp. 225-230 ◽  
Author(s):  
M. Testini ◽  
L. Rosato ◽  
N. Avenia ◽  
F. Basile ◽  
P. Portincasa ◽  
...  
Keyword(s):  
Parathyroid Gland ◽  
Multicenter Study ◽  
Thyroid Surgery ◽  
Postoperative Hypoparathyroidism ◽  
The Impact

scholarly journals Role of magnification and microscope in thyroid surgery safety and efficacy

2021 ◽  
Author(s):  
Ravi K. S. ◽  
Kiran M. Naik ◽  
Swarna Priya M. ◽  
Abhishek M. P.
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Recurrent Laryngeal Nerve Palsy ◽  
Laryngeal Nerve ◽  
Research Centre ◽  
Institutional Review ◽  
Benign Pathology ◽  
Operative Complications ◽  
Ethical Approval

<p><strong>Background:</strong> Thyroid surgery becomes challenging<strong>,</strong> due to closely related structures like recurrent laryngeal nerve and parathyroid gland. Microscope assisted surgery has better visualization for dissection, and decreases the risk of injury to the nerve, parathyroid gland, and its vascular pedicle. Hence it decreases the operative complications.</p><p><strong>Methods:</strong> This is a retrospective study of microscope-assisted thyroidectomy at Adichunchanagiri hospital and research centre, from May 2016 to April 2020. Ethical approval was obtained from institutional review committee. Types of surgery, post-operative hypocalcemia and recurrent laryngeal nerve function were analysed descriptively.</p><p><strong>Results:</strong> Out of total 30 microscope assisted thyroidectomy, 26 were female, 42 (87.5%) benign pathology, 6 (12.5%) malignant. Hemithyroidectomy was done in 25 (83.3%), total thyroidectomy 4 (13.3%), and completion thyroidectomy with neck dissection in 1 (3.3%). Among total thyroidectomies, transient hypocalcemia occurred in 2 (6.6%) and no temporary or permanent recurrent laryngeal nerve palsy.</p><p><strong>Conclusions:</strong> The use of microsurgical technique and loupes magnification in thyroid surgery are safety and effective procedures that require an appropriate training in microsurgery, but may significantly reduce post-operative complications.</p>

Miniseminar: Parathyroid Gland Management in Thyroid Surgery

2007 ◽  
Vol 137 (2_suppl) ◽  
pp. P130-P130
Author(s):  
James I Cohen ◽  
Robert A Sofferman ◽  
Gregory W Randolph ◽  
David L Steward ◽  
Maisie L Shindo
Keyword(s):  
Parathyroid Gland ◽  
Thyroid Surgery

Transaxillary Robot Thyroid Surgery: Recurrent Laryngeal Nerve and Parathyroid Gland Preservation

2015 ◽  
Vol 2 (4) ◽  
Author(s):  
Tae-Yon Sung ◽  
Yu-mi Lee ◽  
Ki-Wook Chung ◽  
Suck Joon Hong ◽  
Jong Ho Yoon
Keyword(s):  
Recurrent Laryngeal Nerve ◽  
Parathyroid Gland ◽  
Thyroid Surgery ◽  
Laryngeal Nerve
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