Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach.

Authors :: Ranganath R
Shaear M
Razavi CR
Pace-Asciak P
Russell JO
Tufano RP
Source :: World journal of otorhinolaryngology - head and neck surgery [World J Otorhinolaryngol Head Neck Surg] 2020 Jun 30; Vol. 6 (3), pp. 155-160. Date of Electronic Publication: 2020 Jun 30 (Print Publication: 2020).
Publication Year :: 2020
Abstract: Advances in imaging for preoperative localization have propelled the widespread adoption of minimally invasive/focused parathyroidectomy in primary hyperparathyroidism. Though it is performed through a relatively small incision, studies have shown that the presence of a neck scar increases attentional bias towards the neck resulting in compromised quality of life. Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) eliminates a neck scar. While indications for TOEPVA are the same as that of minimally invasive open parathyroidectomy, confident preoperative localization of the parathyroid with a surgeon performed ultrasound along with concordant localization with SPECT CT is an essential prerequisite before offering patients this approach for parathyroidectomy. Early data has demonstrated the feasibility and safety of this approach.<br />Competing Interests: Ralph P Tufano – Consultant for Hemostatix and Medtronic. None of the other authors have anything to disclose.<br /> (© 2020 Chinese Medical Association. Production and hosting by Elsevier B.V. on behalf of KeAi Communications Co., Ltd.)

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