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Re-operation for secondary hyperparathyroidism

Published online by Cambridge University Press:  30 November 2007

F Debruyne ,
G Geuens ,
V Vander Poorten  and
P Delaere
F Debruyne*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
G Geuens
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
V Vander Poorten
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
P Delaere
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, University Hospitals Leuven, Belgium
*
Address for correspondence: Dr Frans Debruyne, Department of Otorhinolaryngology, Head and Neck Surgery, UZ St Rafael, Kapucijnenvoer 33, 3000 Leuven, Belgium. Fax: +32 16 332335 E-mail: frans.debruyne@uz.kuleuven.be
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Abstract

Objective:

In cases of re-operation for secondary hyperparathyroidism, to evaluate the extent to which the location of recurrent hyperplasia was predicted by (1) operative data from the first intervention, and (2) pre-operative imaging (before the re-operation).

Methods:

The files of 18 patients undergoing surgery for recurrent secondary hyperparathyroidism were reviewed. The surgical findings were compared both with the report of the initial operation and with the results of pre-operative imaging (i.e. ultrasonography, Mibi scintigraphy or computed tomography).

Results:

The location of the recurrent hyperplasia corresponded with the data for the primary intervention in about one-third of patients. There was a partial correlation in one-third of patients, and no correlation at all in one-third. Pre-operative imaging enabled better prediction of the location of recurrent disease.

Conclusion:

Surgeons should have both sources of information at their disposal when planning a re-intervention for secondary hyperparathyroidism. However, in our series, the predictive value of imaging was superior to that of information deduced from the previous surgical record.

Keywords

Secondary HyperparathyroidismParathyroidectomyRevision Surgery

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 122 , Issue 9 , September 2008 , pp. 942 - 947
Copyright
Copyright © JLO (1984) Limited 2007

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