Parathyroid Autotransplantation during Thyroid Surgery

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چکیده

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Nerve Monitoring During Thyroid and Parathyroid Surgery

Routine identification of the recurrent laryngeal nerve (RLN) with or without intraoperative neuromonitoring (IONM) has decreased the rates of temporary or permanent palsy, ranging from 6 to 1 % of cases in more experienced centers, in which trained surgeons perform more than 100 procedures per year, out of these criteria the percentage of neural injuries exceed 10%, particularly in reoperative...

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Parathyroid Autotransplantation During ThyroidectomyIs Frozen Section Necessary?

Results: Of 179 attempted autotransplantations of parathyroid glands, parathyroid tissue was confirmed in 167 biopsy specimens (93.3%). Incorrect identification of parathyroid gland occurred in 12 instances. The tissue mistaken as parathyroid gland included fat in 6 cases, thyroid tissue in 4 cases, lymph node in 1 case, and thymus in 1 case. Transplantation of at least 1 parathyroid gland (ran...

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Parathyroid Autotransplantation During ThyroidectomyIs Frozen Section Necessary?

Results: Of 179 attempted autotransplantations of parathyroid glands, parathyroid tissue was confirmed in 167 biopsy specimens (93.3%). Incorrect identification of parathyroid gland occurred in 12 instances. The tissue mistaken as parathyroid gland included fat in 6 cases, thyroid tissue in 4 cases, lymph node in 1 case, and thymus in 1 case. Transplantation of at least 1 parathyroid gland (ran...

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

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 hyperpa...

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Parathyroid autotransplantation during thyroidectomy: is frozen section necessary?

OBJECTIVE To evaluate the accuracy of parathyroid gland identification and the need for routine frozen section examination before parathyroid autotransplantation during thyroidectomy. DESIGN A prospective case series. SETTING An endocrine surgical unit. PATIENTS From January 1, 1995, to December 31, 1997, parathyroid autotransplantation was attempted for devascularized or inadvertently re...

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ژورنال

عنوان ژورنال: World Journal of Endocrine Surgery

سال: 2012

ISSN: 0975-5039,0975-7902

DOI: 10.5005/jp-journals-10002-1112