American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 6 , Pages 408-414 , November 2007

Contemporary parathyroidectomy: exploiting technology

Presented in part as a miniseminar at the Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery, 2005, in Los Angeles, Calif.

  • David J. Terris, MD, FACS

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, GA, USA
    • Corresponding Author InformationCorresponding author. Department of Otolaryngology, Medical College of Georgia, Augusta, GA 30912-4060, USA. Tel.: +1 706 721 6100; fax: +1 706 721 0112.
    • Has directed several courses on thyroid surgery that were sponsored by Ethicon Endo-Surgery.
  • ,
  • Brendan C. Stack Jr, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, University of Arkansas for Medical Sciences, Little Rock, AR, USA
  • ,
  • Christine G. Gourin, MD

      Affiliations

    • Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, GA, USA

Received 5 September 2006

References 

  1. Meilstrup JW. Ultrasound examination of the parathyroid glands. Otolaryngol Clin North Am. 2004;37:763–778
  2. Khati N, Adamson T, Johnson KS, et al. Ultrasound of the thyroid and parathyroid glands. Ultrasound Q. 2003;19:162–176
  3. Martinez DA, Hing DR, Ronsche C, et al. Intraoperative identification of parathyroid gland pathology: a new approach. J Pediatr Surg. 1995;30:1306–1310
  4. Norman J, Chheda H. Minimally invasive parathyroidectomy facilitated by intraoperative nuclear mapping. Surgery. 1997;122:998–1003
  5. Terris DJ, Gourin CG, Chin E. Minimally invasive thyroidectomy: basic and advanced techniques. Laryngoscope. 2006;116:350–356
  6. Miccoli P, Bendinelli C, Vignali E, et al. Endoscopic parathyroidectomy: report of an initial experience. Surgery. 1998;124:1077–1079
  7. Miccoli P, Berti P, Materazzi G, et al. Minimally invasive video-assisted thyroidectomy: five years of experience. J Am Coll Surg. 2004;199:243–248
  8. Carter AB, Howanitz PJ. Intraoperative testing for parathyroid hormone: a comprehensive review of the use of the assay and the relevant literature. Arch Pathol Lab Med. 2003;127:1424–1442
  9. Lee W-J, Ruda J, Stack BC. Minimally invasive radioguided parathyroidectomy using intraoperative sestamibi localization. Otolaryngol Clin N Am. 2004;37:789–798
  10. Murphy C, Norman J. The 20 percent rule: a simple instantaneous radioactivity measurement defines cure and allows elimination of frozen section and hormone assays during parathyroidectomy. Surgery. 1999;126:1023–1029
  11. Dijkstra B, Healy C, Kelly LM, et al. Parathyroid localisation—current practice. J R Coll Surg Edinb. 2002;47:599–607
  12. Mazzeo S, Caramella D, Lencioni R, et al. Comparison among sonography, double-tracer subtraction scintigraphy, and double-phase scintigraphy in the detection of parathyroid lesions. AJR Am J Roentgenol. 1996;166:1465–1470
  13. Joshua B, Feinmesser R, Ulanovski D, et al. Primary hyperparathyroidism in young adults. Otolaryngol Head Neck Surg. 2004;131:628–632
  14. Casas AT, Burke GJ, Sathyranarayana , et al. Prospective comparison of technetium-99m-sestamibi/iodine-123 radionuclide scan versus high-resolution ultrasonography for the preoperative localization of abnormal parathyroid glands in patients with previously unoperated primary hyperparathyroidism. Am J Surg. 1993;166:369–373
  15. Light VL, McHenry CR, Jarjoura D, et al. Prospective comparison of dual-phase technetium-99m-sestamibi scintigraphy and high resolution ultrasonography in the evaluation of abnormal parathyroid glands. Am Surg. 1996;62:562–568
  16. Sofferman RA, Nathan MH, Fairbank JT, et al. Preoperative technetium Tc 99m sestamibi imaging. Paving the way to minimal-access parathyroid surgery. Arch Otolaryngol Head Neck Surg. 1996;122:369–374
  17. Ishibashi M, Nishida H, Hiromatsu Y, et al. Comparison of technetium-99m-MIBI, technetium-99m-tetrofosmin, ultrasound and MRI for localization of abnormal parathyroid glands. J Nucl Med. 1998;39:320–324
  18. Ammori BJ, Madan M, Gopichandran TD, et al. Ultrasound guided unilateral neck exploration for sporadic primary hyperparathyroidism: is it worthwhile?. Ann R Coll Surg Engl. 1998;80:433–437
  19. Purcell GP, Dirbas FM, Jeffrey RB, et al. Parathyroid localization with high-resolution ultrasound and technetium Tc 99m sestamibi. Arch Surg. 1999;134:824–830
  20. Hajioff D, Iyngkaran T, Panagamuwa C, et al. Preoperative localization of parathyroid adenomas: ultrasonography, sestamibi scintigraphy or both?. Clin Otolaryngol. 2004;29:549–552
  21. Mekel M, Mahajna A, Shalom S, et al. Minimally invasive surgery for treatment of hyperparathyroidism. Isr Med Assoc J. 2005;7:323–327
  22. Casara D, Rubello D, Pelizzo MR, et al. Clinical role of 99m TcO4/MIBI scan, ultrasound and intra-operative gamma probe in the performance of unilateral and minimally invasive surgery in primary hyperparathyroidism. Eur J Nucl Med. 2001;28:1351–1359
  23. Ruda JM, Hollenbeak CS, Stack BC. A systematic review of the diagnosis and treatment of primary hyperparathyroidism from 1995–2003. Otolaryngol Head Neck Surg. 2005;132:359–372
  24. Sugg SL, Krzywda EA, Demeure MJ, et al. Detection of multiple gland primary hyperparathyroidism in the era of minimally invasive parathyroidectomy. Surgery. 2004;136:1303–1309
  25. Jaskowiak N, Norton JA, Alexander HR, et al. A prospective trial evaluating a standard approach to reoperation for missed parathyroid adenoma. Ann Surg. 1996;224:308–322
  26. Rotstein L, Irish J, Gullane P, et al. Reoperative parathyroidectomy in the era of localization technology. Head Neck. 1998;20:535–539
  27. Thompson GB, Grant CS, Perrier ND, et al. Reoperative parathyroid surgery in the era of sestamibi scanning and intraoperative parathyroid hormone monitoring. Arch Surg. 1999;134:699–705
  28. Feingold DL, Alexander HR, Chen CC, et al. Ultrasound and sestamibi scan as the only preoperative imaging tests in reoperation for parathyroid adenomas. Surgery. 2000;128:1103–1110
  29. Kebebew E, Arici C, Duh Q, et al. Localization and reoperation results for persistent and recurrent parathyroid carcinoma. Arch Surg. 2001;136:878–885
  30. Liew V, Gough IR, Nolan G, et al. Re-operation for hyperparathyroidism. ANZ J Surg. 2004;74:732–740
  31. Ghaheri BA, Koslin B, Wood AH, et al. Preoperative ultrasound is worthwhile for reoperative parathyroid surgery. Laryngoscope. 2004;114:2168–2171
  32. Taillefer R, Boucher Y, Potvin C, et al. Detection and localization of parathyroid adenomas in patients with hyperparathyroidism using a single radionuclide imaging procedure with technetium-99m-sestamibi (double-phase study). J Nucl Med. 1992;33:1801–1807
  33. Vassy WM, Nelson HS, Mancini ML, et al. Minimally invasive parathyroidectomy: how effective is preoperative sestamibi scanning?. Am Surg. 2003;69:1090–1094
  34. Martinez DA, Hing DR, Ronsche C, et al. Intraoperative identification of parathyroid gland pathology: a new approach. J Pediatr Surg. 1995;30:1306–1310
  35. Wells KE, Rapaport DP, Cruse CW, et al. Sentinel lymph node biopsy in melanoma of the head and neck. Plast Reconstr Surg. 1997;100:591–594
  36. Dewan AK, Kapadia SB, Hollenbeak CS, et al. Is routine frozen section necessary for parathyroid surgery?. Otolaryngol Head Neck Surg. 2005;133:857–862
  37. Goldstein RE, Blevins L, Delbeke D, et al. Effect of minimally invasive radioguided parathyroidectomy on efficacy, length of stay, and costs in the management of primary hyperparathyroidism. Ann Surg. 2000;231:732–742
  38. Ruda J, Stack BC, Hollenbeak CS. The cost-effectiveness of sestamibi scanning compared to bilateral neck exploration for the treatment of primary hyperparathyroidism. Otolaryngol Clin North Am. 2004;37:855–870
  39. Lo CY, Chan WF, Luk JM. Minimally invasive endoscopic-assisted parathyroidectomy for primary hyperparathyroidism. Surg Endosc. 2003;17:1932–1936
  40. Mourad M, Ngongang C, Saab N, et al. Video-assisted neck exploration for primary and secondary hyperparathyroidism: initial experience. Surg Endosc. 2001;15:1112–1115
  41. Stalberg P, Sidhu S, Sywak M, et al. Intraoperative parathyroid hormone measurement during minimally invasive parathyroidectomy: does it “value-add” to decision-making?. J Am Coll Surg. 2006;203:1–6
  42. Khafif A, Pivoarov A, Medina JE, et al. Parathyroid hormone: a sensitive predictor of hypocalcemia following total thyroidectomy. Otolaryngol Head Neck Surg. 2006;134:907–910
  43. McLeod IK, Arciero C, Noordzij JP, et al. The use of rapid parathyroid hormone assay in predicting postoperative hypocalcemia after total or completion thyroidectomy. Thyroid. 2006;16:259–265

PII: S0196-0709(06)00262-6

doi: 10.1016/j.amjoto.2006.10.013

American Journal of Otolaryngology - Head and Neck Medicine and Surgery
Volume 28, Issue 6 , Pages 408-414 , November 2007