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Otolaryngol Clin North Am. 2003 Feb;36(1):217-28.

Surgical management of the parathyroids.

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Department of Otorhinolaryngology, University of Oklahoma Health Sciences Center, P.O. Box 26901, WP1360, Oklahoma City, OK 73190, USA.


The recent advance of intraoperative PTH monitoring combined with preoperative localization techniques allow for minimally invasive parathyroid surgery in 75% to 85% of cases. In cases where a single adenoma is identified, minimally invasive techniques should result in a need for repeat surgery in only 2% of cases. The cost of intraoperative PTH assays of localization and gamma probes limits their availability. Complications of parathyroidectomy are uncommon, but appropriate management is important, particularly for patients with hypocalcemia.

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