Surgical treatment of primary hyperparathyroidism

Abstract

Objective: The aim of the study was to evaluate the history, diagnostic procedures, extent and success of the surgical treatment, and possible complications in patients with primary hyperparathyroidism. The authors further discuss the findings in the context of literature data.

Methods: Retrospectively, 48 patients (7 males and 41 females) were analyzed with primary hyperparathyroidism treated between 1999-2006 at the Clinic of Otorhinolaryngology and Head and Neck Surgery JFM CU and FH in Martin at average age of 56 +/- 9 years.

Results: In 90%, pHPT was caused by solitary adenoma and in 10% by hyperplasia. Eleven per cent of patients were asymptomatic. Ultrasonography was performed in all and sestamibi scintigraphy in 17 patients. In 3 cases adenoma was localized ectopically. All patients were treated with traditional bilateral cervical approach. Complications excluding transient hypocalcemia (one-side paralysis, subcutaneous haematoma and inflammation) were present in < 1 % of patients.

Conclusion: Surgical removal of hormonally active tissue is safe and causal treatment of primary hyperparathyroidism with high success rate (Tab. 4, Ref. 21). Full Text (Free, PDF) www.bmj.sk.