2 research outputs found
Parathyroid autotransplantation in extensive head and neck resections: case series report
Permanent or temporary hypoparathyroidism may be a debilitating result of radical cervical surgery, as noted most commonly following thyroid or parathyroid surgery. However, it can also be the outcome of any surgical procedure involving bilateral extensive manipulation of the anterior neck triangle, especially in order to ensure oncologically adequate surgical margins
Parathyroid autotransplantation in extensive head and neck resections: case series report
Permanent or temporary hypoparathyroidism may be a debilitating result
of radical cervical surgery, as noted most commonly following thyroid or
parathyroid surgery. However, it can also be the outcome of any surgical
procedure involving bilateral extensive manipulation of the anterior
neck triangle, especially in order to ensure oncologically adequate
surgical margins.
We report our experience of three patients that underwent parathyroid
immediate autotransplanation following extensive surgical manipulations
of the neck region for oncological reasons. PTH levels were restored to
normal by the fourth postoperative week, allowing us to wean the
patients off calcium and vitamin D(3) supplementation, which was
attributed to full autograft function. Parathyroid autotransplantation,
immediate or delayed, is a simple and safe technique which should be
considered by the surgeon whenever there is a high risk for
postoperative hypoparathyroidism following radical operations of the
neck for oncological reasons