Anzeige
Erschienen in:
27.06.2023 | Original Article
Outcomes of Surgical Management for Parathyroid Adenomas
Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery | Ausgabe 4/2023
Einloggen, um Zugang zu erhaltenAbstract
Aim
Descriptive analysis of patients undergoing parathyroid adenoma surgery at a tertiary care hospital.
Methodology
Patients with parathyroid adenoma operated from January 2016 to December 2020. Serum calcium and PTH were used to establish the diagnosis. Ultrasonography (USG) studies localized the adenoma. NIH criteria was used for decision regarding surgery. Patients were analyzed with regards to pre operative localization, biochemical monitoring and other outcomes.
Results
Of the 15 eligible patients, all were symptomatic, with myalgia (34%) being the commonest symptom. Rome criteria confirmed the adequacy of the procedure by measuring intra operative drop in PTH. Average decrease in serum PTH level was 69.9% and serum calcium was 20.6% after excision of adenoma. The average size of excised adenoma was 2.5 cm. There were no post operative complications and all patients were normocalcemic on follow up.
Conclusion
Parathyroidectomy is a simple, safe and effective solution that reduces the morbidity of symptomatic primary hyperparathyroidism patients. Pre operative localization studies affirm the diagnosis and intra operative biochemical confirmation clinches the adequacy of resection.