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Parathyroid Surgery

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Diseases of the Parathyroid Glands

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Abstract

Parathyroid surgery for hyperparathyroidism is a safe and effective strategy for durably reducing PTH hypersecretion and improving and/or reversing systemic consequences such as bone density loss and nephrocalcinosis. This overview provides a summary of currently available operative approaches for primary, secondary, and tertiary forms of hyperparathyroidism. Multidisciplinary communication is valuable at all phases of management. Surgeons should clearly communicate key details such as the method of parathyroid surgery and the extent of exploration (how many parathyroid glands were examined). The expertise of a surgeon, or ­specialized care for patients with parathyroid disease, is associated with improved outcomes. Parathyroid surgery remains the most effective method of treating hyperparathyroidism and can be accomplished with minimal morbidity. Long-term follow-up of patients who have been treated with parathyroidectomy is important to monitor for successful maintenance of normal calcium balance and resolution of sequelae of hyperparathyroidism.

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Author information

Authors and Affiliations

  1. Head and Neck Surgical Oncology, MD Anderson Cancer Center, 1400 S. Orange Ave., MP 760, Orlando, FL, 82806, USA

    Zvonimir L. Milas MD

  2. The Thyroid Center, Department of Endocrine Surgery, Cleveland Clinic, 9500 Euclid Ave F20, Cleveland, OH, 44195, USA

    Mira Milas MD

Authors
  1. Zvonimir L. Milas MD
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  2. Mira Milas MD
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Correspondence to Zvonimir L. Milas MD .

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Editors and Affiliations

  1. , DEPTS BIOMED ENG & ENDOCRIN-METABOL, Cleveland Clinic, 9500 Euclid Avenue, Cleveland, 44195-5036, Ohio, USA

    Angelo A. Licata

  2. Section of Nephrology, University of Illinois at, Department of Medicine, Associates in Nephrology, SC, Chicago, 60402, Illinois, USA

    Edgar V. Lerma

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Milas, Z.L., Milas, M. (2012). Parathyroid Surgery. In: Licata, A., Lerma, E. (eds) Diseases of the Parathyroid Glands. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-5550-0_20

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  • DOI: https://doi.org/10.1007/978-1-4419-5550-0_20

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  • Print ISBN: 978-1-4419-5549-4

  • Online ISBN: 978-1-4419-5550-0

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