New and Emerging Concepts in Parathyroid Surgery. (2nd September 2014)

• Record Type: Journal Article
• Authors: Terris, David J.; Tufano, Ralph P.; Singer, Michael C.; Bumpous, Jeffrey M.
• Is Part Of: Otolaryngology--head and neck surgery. Volume 151(2014)Supplement 1
• Page Start: P17
• Page End: P17
• Publication Date: 2014-09-02
• Subjects: Head -- Surgery -- Periodicals; Neck -- Surgery -- Periodicals; Otolaryngology -- Periodicals; 617.51
• DOI: 10.1177/0194599814538403a43
• Languages: English
• ISSNs: 0194-5998

Abstract

Abstract : Program Description: Diagnosis and management of hyperparathyroidism represents a rapidly changing field in surgery. Much of the change is technologically driven, with the advent of high‐resolution imaging, intraoperative assays, and application of robust neuromonitoring. These have led to a preponderance of targeted, outpatient procedures that have a high rate of success. As the role of the otolaryngologist in treating this condition continues to be established, mastery of fundamental and emerging concepts is essential. This miniseminar will explore the importance of ultrasound, sestamibi, 4‐dimensional (4D) computed tomography (CT), and other imaging options as well as proper use of hormone assays, postoperative management techniques, and the recent controversy regarding 4‐gland exploration. Educational Objectives: (1) To become familiar with the latest refinements in parathyroid imaging, including high‐resolution ultrasound, 4D CT scans, and CT‐mibi. (2) To understand the strategy behind focused exploration and the principles promoted by surgeons who routinely perform bilateral neck exploration. (3) To appreciate the nuances of modern postoperative management, including calcium prophylaxis and persistent eucalcemic hyperparathyroidism.