OTOLARYNGOLOGY

Parathyroid Pathology

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Parathyroid Pathology

Fig. 30.1 Common ectopic locations for parathyroid glands . (a) Intrathyroidal; (b) Intrathymic The typical parathyroid gland is a thinly encapsulated ovoid gland measuring roughly 6 mm in greatest dimension,…

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Surgery for Ectopic Parathyroid

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Surgery for Ectopic Parathyroid

Fig. 25.1 Parathyroid adenoma identified on office ultrasound Fig. 25.2 Posteriorly descended left superior parathyroid adenoma on ultrasound The abnormal inferior parathyroid gland is generally easier to image with ultrasound…

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CT Imaging for Parathyroid Disease

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on CT Imaging for Parathyroid Disease

Fig. 14.1 Non-enhanced, arterial, and venous-phase (left to right) axial CT images from a 4DCT in a patient with primary hyperparathyroidism shows an ovoid parathyroid adenoma posterior to the right…

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Intraoperative Parathyroid Ultrasound

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Intraoperative Parathyroid Ultrasound

Fig. 23.1 Left inferior parathyroid adenoma abutting left common carotid artery and dorsal to left thyroid lobe. Transverse view. CCA common carotid artery, IJV internal jugular vein, SH/ST sternohyoid and…

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Complications of Parathyroid Surgery

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Complications of Parathyroid Surgery

Fig. 46.1 Vascular supply of the parathyroid glands and relationship with the thyroid gland and recurrent laryngeal nerve. Surgery of the Thyroid and Parathyroid Glands Edition 2, Greg W. Randolph,…

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Minimally Invasive Radioguided Parathyroidectomy

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Minimally Invasive Radioguided Parathyroidectomy

Serum calcium >12.0 mg/dL 24-h Urinary calcium >400 mg/day Episode of life-threatening hypercalcemia Creatinine clearance decreased by ≥30 % Nephrolithiasis Age <50 years Osteitis fibrosa cystica Osteoporosis Neuromuscular symptoms Preoperative…

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Parathyroid Carcinoma

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Parathyroid Carcinoma

Fig. 31.1 Gross pathology specimen of a parathyroid carcinoma. The tumor was pushing and displacing the thyroid gland but not invading it. The right thyroid lobe was removed regardless due…

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Outpatient Parathyroidectomy

Aug 28, 2017 by in OTOLARYNGOLOGY Comments Off on Outpatient Parathyroidectomy

Fig. 37.1 Cervical ultrasound demonstrating a right inferior parathyroid adenoma (a) Transverse view; (b) Longitudinal view Sestamibi Scintigraphy Sestamibi (six methoxyisobutylisonitrile) is a monovalent lipophilic cation that diffuses passively across…

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