Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
5713606 | American Journal of Otolaryngology | 2017 | 49 Pages |
Abstract
Interestingly, hyperparathyroidism alone is not an indication for surgery without other findings; rather, symptomatic hypercalcemia appears to be the main indication. Most studies recommend limited or subtotal parathyroidectomy for 3HPT. The operative endpoint of surgery is not necessarily a return of PTH to normal, but a >Â 50% drop in PTH level even if PTH remains above normal. Additionally, “success” or “cure” is defined as normal calcium levels regardless of whether or not PTH is elevated. It appears the goal of surgery for 3HPT is not a normal PTH value, but a normal calcium level at least six months postoperatively.
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Authors
Jessica A. Tang, Jacob Friedman, Michelle S. Hwang, Anna M. Salapatas, Lauren B. Bonzelaar, Michael Friedman,