Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach

Advances in imaging for preoperative localization have propelled the widespread adoption of minimally invasive/focused parathyroidectomy in primary hyperparathyroidism. Though it is performed through a relatively small incision, studies have shown that the presence of a neck scar increases attention...

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Autores principales:	Rohit Ranganath, Mohammad Shaear, Christopher R. Razavi, Pia Pace-Asciak, Jonathon O. Russell, Ralph P. Tufano
Formato:	article
Lenguaje:	EN
Publicado:	KeAi Communications Co., Ltd. 2020
Materias:	Primary hyperparathyroidism Parathyroid adenoma Hypercalcemia Transoral endoscopic parathyroidectomy vestibular approach Otorhinolaryngology RF1-547 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3c393f5cb2eb4590bbc56721360339b3
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spelling	oai:doaj.org-article:3c393f5cb2eb4590bbc56721360339b32021-12-02T13:57:20ZImaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach2095-881110.1016/j.wjorl.2020.01.012https://doaj.org/article/3c393f5cb2eb4590bbc56721360339b32020-09-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2095881120300718https://doaj.org/toc/2095-8811Advances in imaging for preoperative localization have propelled the widespread adoption of minimally invasive/focused parathyroidectomy in primary hyperparathyroidism. Though it is performed through a relatively small incision, studies have shown that the presence of a neck scar increases attentional bias towards the neck resulting in compromised quality of life. Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) eliminates a neck scar. While indications for TOEPVA are the same as that of minimally invasive open parathyroidectomy, confident preoperative localization of the parathyroid with a surgeon performed ultrasound along with concordant localization with SPECT CT is an essential prerequisite before offering patients this approach for parathyroidectomy. Early data has demonstrated the feasibility and safety of this approach.Rohit RanganathMohammad ShaearChristopher R. RazaviPia Pace-AsciakJonathon O. RussellRalph P. TufanoKeAi Communications Co., Ltd.articlePrimary hyperparathyroidismParathyroid adenomaHypercalcemiaTransoral endoscopic parathyroidectomy vestibular approachOtorhinolaryngologyRF1-547SurgeryRD1-811ENWorld Journal of Otorhinolaryngology-Head and Neck Surgery, Vol 6, Iss 3, Pp 155-160 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Primary hyperparathyroidism Parathyroid adenoma Hypercalcemia Transoral endoscopic parathyroidectomy vestibular approach Otorhinolaryngology RF1-547 Surgery RD1-811
spellingShingle	Primary hyperparathyroidism Parathyroid adenoma Hypercalcemia Transoral endoscopic parathyroidectomy vestibular approach Otorhinolaryngology RF1-547 Surgery RD1-811 Rohit Ranganath Mohammad Shaear Christopher R. Razavi Pia Pace-Asciak Jonathon O. Russell Ralph P. Tufano Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
description	Advances in imaging for preoperative localization have propelled the widespread adoption of minimally invasive/focused parathyroidectomy in primary hyperparathyroidism. Though it is performed through a relatively small incision, studies have shown that the presence of a neck scar increases attentional bias towards the neck resulting in compromised quality of life. Transoral endoscopic parathyroidectomy vestibular approach (TOEPVA) eliminates a neck scar. While indications for TOEPVA are the same as that of minimally invasive open parathyroidectomy, confident preoperative localization of the parathyroid with a surgeon performed ultrasound along with concordant localization with SPECT CT is an essential prerequisite before offering patients this approach for parathyroidectomy. Early data has demonstrated the feasibility and safety of this approach.
format	article
author	Rohit Ranganath Mohammad Shaear Christopher R. Razavi Pia Pace-Asciak Jonathon O. Russell Ralph P. Tufano
author_facet	Rohit Ranganath Mohammad Shaear Christopher R. Razavi Pia Pace-Asciak Jonathon O. Russell Ralph P. Tufano
author_sort	Rohit Ranganath
title	Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
title_short	Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
title_full	Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
title_fullStr	Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
title_full_unstemmed	Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
title_sort	imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach
publisher	KeAi Communications Co., Ltd.
publishDate	2020
url	https://doaj.org/article/3c393f5cb2eb4590bbc56721360339b3
work_keys_str_mv	AT rohitranganath imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach AT mohammadshaear imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach AT christopherrrazavi imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach AT piapaceasciak imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach AT jonathonorussell imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach AT ralphptufano imagingandchoosingtherightpatientsfortransoralendoscopicparathyroidectomyvestibularapproach
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Imaging and choosing the right patients for transoral endoscopic parathyroidectomy vestibular approach

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