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Avoiding Complications of Thyroidectomy: Preservation of Parathyroid Glands.
- Source :
-
Otolaryngologic clinics of North America [Otolaryngol Clin North Am] 2024 Feb; Vol. 57 (1), pp. 63-74. Date of Electronic Publication: 2023 Aug 31. - Publication Year :
- 2024
-
Abstract
- Preservation of functional parathyroid glands during thyroidectomy and central neck surgery is crucial to avoid the common but serious complication of hypoparathyroidism. The first requirement is a solid foundational knowledge of anatomy and embryology which then enables the surgeon to use meticulous anticipatory dissection with identification and preservation of blood supply to the parathyroids. When preservation of blood supply is not possible, autotransplantation should be performed. New technologies harnessing the natural phenomenon of parathyroid autofluorescence to detect parathyroid tissue and indocyanine green to perform angiography may lead to improved outcomes with low risk to patients.<br /> (Copyright © 2023 Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Thyroidectomy adverse effects
Transplantation, Autologous adverse effects
Postoperative Complications prevention & control
Postoperative Complications surgery
Parathyroid Glands diagnostic imaging
Parathyroid Glands surgery
Hypoparathyroidism etiology
Hypoparathyroidism prevention & control
Hypoparathyroidism surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1557-8259
- Volume :
- 57
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Otolaryngologic clinics of North America
- Publication Type :
- Academic Journal
- Accession number :
- 37659862
- Full Text :
- https://doi.org/10.1016/j.otc.2023.07.009