Document Detail

Unilateral versus bilateral neck exploration in parathyroid surgery: an assessment of 55 cases.
MedLine Citation:
PMID:  11523470     Owner:  NLM     Status:  MEDLINE    
We retrospectively evaluated the cases of 55 patients who had undergone surgery for primary hyperparathyroidism at our institution to determine whether their parathyroid glands were abnormal on both sides. Thirty-six of these patients had undergone a bilateral neck exploration, and 19 had had a unilateral investigation. Of the 36 bilaterally explored patients, 30 had a solitary adenoma and no parathyroid pathology on the opposite side, five patients had hyperplastic glands with more than one gland involved, and one patient had two adenomas. In the unilaterally explored group, all 19 patients had a solitary adenoma. There were no failures in the way of persistent hypercalcemia in either group. Based on our findings, we conclude that a unilateral neck exploration should be performed during surgery for primary hyperparathyroidism whenever a large parathyroid adenoma and a normal parathyroid gland are found on the same side. Bilateral exploration should be reserved for patients in whom pathology cannot be found on the initially explored side during surgery and for patients who have obvious parathyroid hyperplasia.
A Kacker; A Komisar
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ear, nose, & throat journal     Volume:  80     ISSN:  0145-5613     ISO Abbreviation:  Ear Nose Throat J     Publication Date:  2001 Aug 
Date Detail:
Created Date:  2001-08-28     Completed Date:  2001-10-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7701817     Medline TA:  Ear Nose Throat J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  530-2, 534     Citation Subset:  IM    
Department of Otolaryngology-Head and Neck Surgery, Lenox Hill Hospital, 100 E. 77th St., New York, NY 10021, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adenoma / pathology*,  surgery*
Hyperparathyroidism / diagnosis*,  surgery*
Parathyroid Neoplasms / pathology*,  surgery*
Preoperative Care*
Retrospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Treatment of chronic suppurative otitis media with Broncasma Berna.
Next Document:  Intra- and intersession reliability of acoustic rhinometry in measuring nasal cross-sectional area.