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Isr Med Assoc J. 2003 Jun;5(6):403-6.

Revision parathyroidectomy guided by intraoperative radionuclide imaging.

Author information

1
Departments of Otolaryngology, Head and Neck Surgery, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel. gidybahar@yahoo.com

Erratum in

  • Isr Med Assoc J. 2003 Aug;5(8):605.

Abstract

BACKGROUND:

Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration.

OBJECTIVE:

To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.

METHODS:

We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.

RESULTS:

In all cases the pathologic glands were successfully detected and removed.

CONCLUSIONS:

With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.

Comment in

PMID:
12841009
[Indexed for MEDLINE]
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