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Trans-oral robotic surgical excision of an ectopic parathyroid adenoma

Journal of Robotic Surgery volume 10, pages 73–75 (2016)Cite this article

Abstract

Background

The pyriform sinus is a potential location for ectopic parathyroid tissue and we describe the use of trans-oral robotic to excise the ectopic tissue.

Methods

A 55-year-old female presented with primary hyperparathyroidism. 4D computed tomography and Sestimibi scan revealed a 1.2 × 0.7 cm mass in the left pyriform sinus. Using the da Vinci SI robot, a 1 cm hypopharyngeal incision was made with electrocautery in the left pyriform sinus and used to excise the mass.

Results

Ectopic mass was removed via trans-oral robotic approach and final pathology confirmed parathyroid tissue. Parathyroid hormone level dropped from 135.8 to 13.3 pg/ml 15 min after excision of the mass.

Conclusion

Ectopic parathyroid tissue can present in many different areas of the neck, with the pyriform sinus being a potential location. The trans-oral robotic parathyroidectomy confers the advantage of the lack of an external incision for removal of ectopic parathyroid adenoma.

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Author information

Affiliations

  1. Department of Otolaryngology, Henry Ford Hospital, Detroit, MI, USA

    Matthew M. Smith & Tamer A. Ghanem

  2. Proliance Eastside ENT, Seattle, WA, USA

    William G. Young

  3. Department of General Surgery, Henry Ford Hospital, Detroit, MI, USA

    Arthur M. Carlin

Authors
  1. Matthew M. Smith
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  2. William G. Young
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  3. Arthur M. Carlin
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  4. Tamer A. Ghanem
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Corresponding author

Correspondence to Matthew M. Smith.

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Conflict of interest

Matthew M. Smith, William G. Young, Arthur M. Carlin, and Tamer A. Ghanem declare that they have no conflict of interest.

Consent section

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 journal.

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Smith, M.M., Young, W.G., Carlin, A.M. et al. Trans-oral robotic surgical excision of an ectopic parathyroid adenoma. J Robotic Surg 10, 73–75 (2016). https://doi.org/10.1007/s11701-015-0545-9

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  • DOI: https://doi.org/10.1007/s11701-015-0545-9

Keywords

  • Trans-oral robotic surgery
  • Ectopic parathyroid
  • Parathyroid adenoma
  • Primary hyperparathyroidism
  • Parathyroidectomy