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PARATHYROID IDENTIFICATION BY METHYLENE BLUE INFUSION
Author(s) -
BAMBACH C.P.,
REEVE T.S.
Publication year - 1978
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1978.tb05238.x
Subject(s) - medicine , methylene blue , hyperparathyroidism , stain , staining , parathyroid carcinoma , pathology , surgery , biochemistry , photocatalysis , catalysis , chemistry
A preoperative infusion of methylene blue was employed in 20 patients undergoing neck exploration for hyperparathyroidism. The dye was noted to stain adenomas and hyperplastic glands a deep purple‐blue colour. Normal parathyroid tissue stained to a lesser extent or not at ail. All unstained parathyroid tissue was normal histologically. Methylene blue infusion is a safe method of more rapidly identifying parathyroid tissue. Its preferential staining of abnormal parathyroid tissue can assist the surgeon in deciding the extent of his parathyroid excision.