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Unintentional parathyroidectomy and hypoparathyroidism in secondary central compartment surgery for thyroid cancer
Author(s) -
Ondik Michael P.,
McGinn Johnathan,
Ruggiero Francis,
Goldenberg David
Publication year - 2010
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.21205
Subject(s) - hypoparathyroidism , medicine , parathyroidectomy , thyroid cancer , surgery , thyroid , neck dissection , thyroidectomy , parathyroid gland , endocrine surgery , complication , parathyroid hormone , cancer , calcium
Background. Unintentional parathyroidectomy is a complication of thyroid surgery. To our knowledge, no study has specifically examined the incidence of inadvertent parathyroidectomy exclusively in patients undergoing secondary central compartment surgery for recurrent or persistent thyroid cancer. Methods. The records of 40 patients who underwent 42 secondary central compartment surgeries for thyroid cancer were reviewed to determine the incidence of inadvertent parathyroidectomy. Results. Parathyroid tissue was present on permanent pathology in 31% of SCCSs. Unintentional parathyroidectomy did not have an effect on hypoparathyroidism. Concomitant lateral neck dissection did not have an effect on the incidence of hypoparathyroidism, but did have a statistically significant effect on inadvertent parathyroidectomy. Conclusion. Accidental resection of parathyroid tissue is relatively common in secondary central compartment surgery compared with primary thyroid surgery, but does not appear to correlate with postoperative hypoparathyroidism. © 2009 Wiley Periodicals, Inc. Head Neck, 2010