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European Archives of Oto-Rhino-Laryngology
Published in: European Archives of Oto-Rhino-Laryngology 8/2020

01-08-2020 | Hypoparathyroidism | Head and Neck

Outcomes of parathyroid gland identification and autotransplantation during total thyroidectomy

Authors: Shivprakash Mehta, Muthuswamy Dhiwakar, Krishnan Swaminathan

Published in: European Archives of Oto-Rhino-Laryngology | Issue 8/2020

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Abstract

Purpose

To report the outcomes of parathyroid gland (PG) identification and autotransplantation (autoT) during thyroidectomy.

Methods

Consecutive total thyroidectomy cases performed by a single surgeon using extracapsular dissection technique were considered. PGs were not intentionally sought during dissection. PG location, number identified and autoT were prospectively recorded and correlated to postoperative outcomes.

Results

In all, 265 cases were included. The mean number of PGs identified per case was 2.7. The number of PGs identified had no correlation to postoperative hypocalcemia. However, independent risk factors for hypocalcemia were female sex, bilateral central compartment neck dissection (CND) and autoT > 1 PG; and for permanent hypoparathyroidism were female sex and bilateral CND. AutoT did not protect against permanent hypoparathyroidism.

Conclusion

The number of PGs identified during the course of a standard extracapsular dissection technique had no correlation to postoperative hypocalcemia. Whenever possible, avoiding bilateral CND and careful techniques to preserve PGs in an in situ and viable state, to obviate the necessity for autoT, are recommended.
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Metadata
Title
Outcomes of parathyroid gland identification and autotransplantation during total thyroidectomy
Authors
Shivprakash Mehta
Muthuswamy Dhiwakar
Krishnan Swaminathan
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
European Archives of Oto-Rhino-Laryngology / Issue 8/2020
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI
https://doi.org/10.1007/s00405-020-05941-9

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