Dennis R Maceri* and Tymon Tai
Department of Otolaryngology Head and Neck Surgery, University of Southern California, USAFulltext PDF
Hyperparathyroidism is a disorder that is frequently unrecognized until the patient has an elevated serum calcium level identified on a routine physical exam. We discuss the disease identification, symptoms and signs of hyperparathyroidism as well as management. Primary hyperparathyroidism is routinely managed by surgery. The most important aspect for surgery is the pre-operative localization of the offending gland. This paper discusses the pre-operative imaging procedures available and a paradigm for management of primary hyperparathyroid patients for which there is no preoperative localization. Specifically, it discusses the technique of intraoperative split central venous PTH measurements that is used in surgery. This technique serves as a valuable adjunct to the surgical management of primary hyperparathyroidism.
Maceri DR, Tai T. Parathyroid Disease: A Paradigm for Disease Management. Clin Surg. 2019; 4: 2385.