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Parathyroid ectopia: development of a surgical algorithm based on operative findings

Published online by Cambridge University Press:  09 September 2015

S Gunasekaran ,
H Wallace ,
C Snowden ,
D Mikl  and
R J A England
S Gunasekaran*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Castle Hill Hospital, Cottingham, UK
H Wallace
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Castle Hill Hospital, Cottingham, UK
C Snowden
Affiliation:
Department of Anaesthesiology, Castle Hill Hospital, Cottingham, UK
D Mikl
Affiliation:
Department of Anaesthesiology, Castle Hill Hospital, Cottingham, UK
R J A England
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Castle Hill Hospital, Cottingham, UK
*
Address for correspondence: Mr S Gunasekaran, Department of Otolaryngology and Head and Neck Surgery, Castle Hill Hospital, Castle Road, Cottingham HU16 5JQ, UK E-mail: [email protected]
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Abstract

Objectives:

To study the incidence of ectopic parathyroid adenomata from a single surgical series, and to devise a surgical algorithm from the results to follow when an adenoma cannot initially be located.

Methods:

A retrospective review was conducted of prospectively collected data. The study comprised all patients who underwent parathyroidectomy between June 2001 and February 2008 under the care of the senior author. A systematic surgical protocol was developed for locating ectopic superior and inferior parathyroid adenomata based on the order of incidence identified from the database.

Results:

Parathyroid ectopia occurs in approximately 10 per cent of hyperparathyroidism cases. It is more common in superior than inferior parathyroid glands. The most common superior location is the right retroesophageal position and the most common inferior location is within the left thymic remnant.

Conclusion:

Prospective data collection and subsequent analysis can be used to develop a systematic surgical protocol to aid the localisation of ectopic enlarged parathyroid glands in the surgical management of hyperparathyroidism.

Keywords

ParathyroidectomyEctopic Parathyroid GlandsAlgorithm
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 11 , November 2015 , pp. 1115 - 1120
Copyright
Copyright © JLO (1984) Limited 2015 

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