Transoral robotic resection of a retropharyngeal parathyroid adenoma: a case report

  • Anne C. Kane
  • Rohan R. Walvekar
  • Jeffrey M. Hotaling
Case Report


Transoral robotic surgery (TORS) has become an increasingly popular option for early malignancies of the oropharynx. It offers superior visualization and has been proven to have acceptable functional and oncologic outcomes. Additionally, indications in head neck have expanded to manage tumors of the thyroid, neck, parapharyngeal space and salivary glands. A 58-year-old female had an incidental finding on CT imaging of a retropharyngeal mass at the level of the hyoid bone. She was referred to a tertiary medical center for further workup and removal of this mass. Due to the midline position of the mass, favorable access and potentially decreased surgical morbidity, TORS excision of the mass was performed for diagnosis and treatment. Histopathology confirmed this to be a hypercellular parathyroid mass consistent with parathyroid adenoma. We report a relatively unusual location of parathyroid adenoma in an asymptomatic patient with normal parathyroid and calcium levels. TORS proves to be a feasible and safe method for complete surgical excision of retropharyngeal parathyroid adenoma without tumor spillage or violation.


Ectopic parathyroid adenoma Transoral robotic surgery Retropharyngeal space mass excision 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Informed consent

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journalan.


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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  • Anne C. Kane
    • 1
  • Rohan R. Walvekar
    • 1
  • Jeffrey M. Hotaling
    • 2
  1. 1.Department of Otolaryngology Head and Neck SurgeryLouisiana State University Health Sciences CenterNew OrleansUSA
  2. 2.Department of Otolaryngology - Head and Neck SurgeryWayne State UniversityDetroitUSA

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