When and How to Perform Bilateral Exploration for Hyperparathyroidism (AMW) Session
2021 AAO-HNSF Annual Meeting & OTO Experience
Primary hyperparathyroidism caused by a single adenoma is often a simple minimally invasive resection. However, bilateral exploration of the neck can be expected or unexpected while performing parathyroidectomies. Each of the causes of hyperparathyroidism, from the development of single-adenoma or multi-gland disease have similar processes but distinct preoperative work-up, medical, and surgical management, and immediate post-operative surveillance. This expert panel will review the important aspects, nuances, and unique challenges of treating this multifaceted disease process, with particular focus on when and how to do a bilateral exploration with today’s available tools.
Description
Learning Objective: 1. When to consider or perform a bilateral neck exploration for primary hyperparathyroidism (including hereditary primary hyperparathyroidism, genetic syndromes, familial hyperparathyroidism and FHH). 2. Differences in surgical management of secondary/tertiary hyperparathyroidism. Examine preoperative workup and postoperative care for the different disease processes. 3. Examine surgical techniques and intraoperative decision making, with an emphasis on principles of methodical, systemic approach to reduce risk of postoperative permanent hypoparathyroidism. Faculty: David Steward, MD(Nothing to Disclose), Alice Tang, MD(Nothing to Disclose), David Terris, MD(Royalty: Springer Publishing, Thieme Medical Publishers), Maisie Shindo, MD(Nothing to Disclose).
