Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach

• 作者: Pace-Asciak Pia Ranganath Rohit Razavi Christopher R. Russell Jonathon O. Shaear Mohammad Tufano Ralph P.
• 来源期刊: 世界耳鼻咽喉头颈外科杂志（英文）
• 关键词: Primary hyperparathyroidism Parathyroid adenoma Hypercalcemia Transoral endoscopic parathyroidectomy vestibular approach
• 年，卷（期）: 2020,（3）
• 所属期刊栏目: Review Article
• 页码范围: 155-160
• 页数: 6页
• 语种: 中文
• DOI: 10.1016/j.wjorl.2020.01.012

摘要

Advances in imaging for preoperative localization have propelled the widespread adoption of minimally invasive/focused parathyroidectomy in primary hyperparathyroidism. Though it is performed through a relatively small incision, studies have shown that the presence of a neck scar increases attentional bias towards the neck resulting in compromised quality of life. Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) eliminates a neck scar. While indications for TOEPVA are the same as that of minimally invasive open parathyroidectomy, confident preoperative localization of the parathyroid with a surgeon performed ultrasound along with concordant localization with SPECT CT is an essential prerequisite before offering patients this approach for parathyroidectomy. Early data has demonstrated the feasibility and safety of this approach.