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Postoperative Hypoparathyroidism and the Viability of the Parathyroid Glands During Thyroidectomy

Title
Postoperative Hypoparathyroidism and the Viability of the Parathyroid Glands During Thyroidectomy
Author
이창범
Keywords
Parathyroid Glands; Hypoparathyroidism; Hypocalcemia; Thyroidectomy
Issue Date
2017-05
Publisher
KOREAN SOC OTORHINOLARYNGOL
Citation
CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, v. 10, no. 3, page. 265-271
Abstract
Objectives. To prevent hypoparathyroidism after thyroidectomy, preservation of the parathyroid glands and their vascularity are essential. The aim of this study was to determine the association between postoperative parathyroid function and the viability of the parathyroid glands during thyroidectomy.Methods. We prospectively analyzed 111 patients who underwent total thyroidectomy and in whom all 4 parathyroid glands were preserved in situ during the operation. The surgeons scored the viability of each parathyroid gland from 0 (normal) to 3 (severely compromised viability) based on its gross appearance and vascularity intraoperatively. The index of parathyroid viability score (IPVS) was defined as the sum of the viability scores of the 4 parathyroid glands. We evaluated the relationship between postoperative parathyroid function and IPVS.Results. Transient hypoparathyroidism occurred in 25 patients (22.5%), and permanent hypoparathyroidism in 4 patients (3.6%). The IPVS were significantly different in the three groups: 2.87 +/- 1.46 in the normal group, 3.68 1.41 in the transient hypoparathyroidism group and 7.50 +/- 1.00 in the permanent hypoparathyroidism group. The rates of transient hypoparathyroidism were 13.6% in patients with IPVS 0-2, 23.8% in patients with IPVS 3-4, and 42.9% in patients with IPVS 5-6.All the patients with IPVS of 7 or more had permanent hypoparathyroidism.Conclusion. IPVS is correlated with the incidence of hypoparathyroidism. It could be a good quantitative indicator of the probability of hypoparathyroidism after thyroidectomy.
URI
https://www.e-ceo.org/journal/view.php?doi=10.21053/ceo.2016.00724http://repository.hanyang.ac.kr/handle/20.500.11754/114109
ISSN
1976-8710; 2005-0720
DOI
10.21053/ceo.2016.00724
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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