Is there a role for parathyroid autotransplantation?
A.Yes, in certain situations. Parathyroid autotransplantation is reserved for those patients who undergo a repeat parathyroid operation when there is concern that when the parathyroid gland is removed, the patient will be left without any parathyroid tissue, resulting in hypoparathyroidism. This is also a concern in the multiple gland hyperplasia syndromes in which all four parathyroid glands are involved. All parathyroid tissue in the neck is removed and a small amount is transplanted to the forearm. In this way, the patient is left with some functioning parathyroid tissue. If the forearm parathyroid enlarges over time, the transplanted tissue can be readily reduced by a simple, local office procedure. Parathyroid autotransplantation should be performed only in medical centers and by surgeons with experience in this technique. 21. Q. What are the results of successful surgery? A. Successful removal of the parathyroid gland(s) leads to normal calcium and parathyroid hormone levels. In
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- Is there a role for parathyroid autotransplantation?
