Objective: We evaluated the effectiveness of carbon nanoparticle suspension injection combined with parathyroid gland vasculature preservation to identify and preserve the parathyroid gland to reduce postoperative hypoparathyroidism following thyroidectomy.
Material And Methods: Fifty patients with thyroid tumors received carbon nanoparticle suspension injection combined with parathyroid gland vasculature preservation (group A). Serum calcium and PTH levels were recorded and compared with those of 50 control patients who underwent a standard thyroidectomy procedure (group B).
Results: The serum calcium level in group A was significantly higher than that in group B at day 1 (2.20 ± 0.02 vs 2.11 ± 0.03 mmol/L) and day 30 (2.27 ± 0.01 vs 2.21 ± 0.02 mmol/L) after surgery. The PTH level in group A was also significantly higher than that in group B at day 1 (33.5 ± 2.36 vs. 25.31 ± 2.98 pg/mL) after surgery. The incidence of hypoparathyroidism was significantly higher in group B than in group A at day 1 after surgery (19 vs. 7 patients).
Conclusion: When combined with parathyroid gland vasculature preservation, carbon nanoparticle suspension injection can effectively reduce the incidence of temporary parathyroidism following thyroid surgery.
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http://dx.doi.org/10.1177/0300060519866606 | DOI Listing |
Ann Surg
January 2025
University of Alabama at Birmingham, Birmingham, AL, United States.
Objective: To assess the impact of parathyroid gland autotransplantation on the restoration of parathyroid function in patients who are hypoparathyroid after thyroidectomy.
Background Data: Hypoparathyroidism post-thyroidectomy arises when all parathyroid glands are devascularized or injured. Autotransplantation of compromised parathyroids aims to preserve their function and prevent permanent hypoparathyroidism.
J Oral Biol Craniofac Res
December 2024
Division of Oral Radiology, School of Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.
Purpose: This study aimed to assess the styloid process (TBSP) phenotype and to identify suggestive images of calcified atheromatous plaques (CAP) in panoramic radiographs of patients with primary hyperparathyroidism (PHPT) and post-surgical hypoparathyroidism (hypoPT). Additionally, it aimed to analyze the association between the bone mineral status of patients with parathyroid diseases and the radiographic findings.
Material And Methods: A cross-sectional case-control study was conducted with individuals diagnosed with PHPT (n = 25) and post-surgical hypoPT (n = 25).
Medicine (Baltimore)
November 2024
Department of Joint and Hand Orthopedics, Hunan University of Medicine General Hospital, Huaihua, China.
Rationale: As a rare cause of femoral neck fracture, usually, hyperparathyroidism is missed diagnosed by orthopedist. Patient can present with various disappearance of clinical manifestations. Primary hyperparathyroidism in senile male population is commonly an asymptomatic disorder discovered incidentally through routine lab testing.
View Article and Find Full Text PDFJ Invest Surg
December 2025
The First Affiliated Hospital of Hebei North University, Zhangjiakou, China.
Objective: Extant imaging methods used for the proper identification of the parathyroid glands to prevent post-operative hypothyroidism associated with the resection of differentiated thyroid cancer (DTC) are limited by factors such as low specificity, high cost, and technical complexity. This study, therefore, sought to investigate the efficacy of the immunocolloidal gold strip method combined with nanocarbon negative imaging tracing technology for parathyroid gland imaging during radical resection of DTC in elderly patients.
Methods: A total of 100 elderly patients with DTC were enrolled and randomly divided into two groups: the control group and the observation group.
Int J Surg
December 2024
Department of Surgery, Sapienza University of Rome, Rome.
Background: One of the most important surgical steps during thyroidectomy is the safe ligation of vessels. In fact, it is crucial to avoid postoperative bleeding and nerves' injury. The "clamp and tie" technique was first introduced in the 19th century.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!