Abstract | OBJECTIVE: DESIGN: Retrospective study. SETTING: University hospital. PATIENTS: INTERVENTIONS: All pathology reports were reviewed for the presence of any parathyroid tissue in the resected specimen. Age, sex, preoperative diagnosis, thyroid hormonal status, substernal thyroid extension, number of parathyroid glands identified and spared at the time of surgery, autotransplantation of parathyroid gland, and final histologic findings were recorded. MAIN OUTCOME MEASURES: Identification of parathyroid tissue in resected specimens and postoperative symptomatic hypocalcemia. RESULTS: A total of 307 patients were included. Surgical procedures included bilateral or unilateral thyroidectomy (95% and 5% of procedures, respectively). Central neck lymph node dissection was performed in 5% of cases. Pathologic findings showed inadvertent parathyroidectomy in 12% of cases. Of these, 32% were recognized intraoperatively. The parathyroid tissue was found in extracapsular locations in 37% of cases, intracapsular locations in 39%, and intrathyroidal locations in 24%. There was no statistical difference between the 2 groups in terms of sex, preoperative diagnosis, substernal extension, extent of surgery, pathologic diagnosis, and occurrence of postoperative hypocalcemia, except for the presence of thyroiditis. CONCLUSION:
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Authors | Bassam Abboud, Ghassan Sleilaty, Carla Braidy, Salam Zeineddine, Claude Ghorra, Gerard Abadjian, Bassam Tabchy |
Journal | Archives of otolaryngology--head & neck surgery
(Arch Otolaryngol Head Neck Surg)
Vol. 133
Issue 11
Pg. 1105-10
(Nov 2007)
ISSN: 0886-4470 [Print] United States |
PMID | 18025313
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Aged
- Cohort Studies
- Female
- Humans
- Hypocalcemia
(epidemiology)
- Incidence
- Intraoperative Complications
- Male
- Medical Errors
(adverse effects, statistics & numerical data)
- Middle Aged
- Parathyroidectomy
(adverse effects, statistics & numerical data)
- Retrospective Studies
- Risk Factors
- Thyroid Diseases
(pathology, surgery)
- Thyroidectomy
(adverse effects)
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