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Minimally Invasive and Robotic Thyroid and Parathyroid Surgery pp 151–156Cite as

Radioguided Parathyroidectomy

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Abstract

Radioguidance for parathyroidectomy has broad applications and is often underutilized in parathyroid surgery. By using a low dose of technetium 99m sestamibi, injected the day of surgery, radioactivity can be detected within the parathyroid tissue at time of surgery. This functions to help localize glands during surgery, confirm that excised specimens are parathyroid tissue, and give an assessment of gland metabolic activity. It should be considered one of a parathyroid surgeon’s tools, along with intraoperative parathyroid hormone monitoring and preoperative imaging. We find that radioguidance is helpful in all parathyroid cases, from minimally invasive to reoperations to bilateral neck explorations.

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Authors and Affiliations

  1. Department of Surgery, University of Wisconsin, Madison, WI, USA

    Sarah C. Oltmann MD

  2. Division of General Surgery, Department of Surgery, University of Wisconsin, 600 Highland Avenue, Clinical Science Center K3/705, Madison, WI, 53792-7375, USA

    Herbert Chen MD

Authors
  1. Sarah C. Oltmann MD
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  2. Herbert Chen MD
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Corresponding author

Correspondence to Herbert Chen MD .

Editor information

Editors and Affiliations

  1. Department of Otolaryngology - Head and Neck Surgery, Georgia Regents University, Augusta, Georgia, USA

    David J. Terris

  2. Department of Otolaryngology - Head and Neck Surgery, Henry Ford Hospital, Detroit, Michigan, USA

    Michael C. Singer

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© 2014 Springer Science+Business Media New York

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Oltmann, S.C., Chen, H. (2014). Radioguided Parathyroidectomy. In: Terris, D., Singer, M. (eds) Minimally Invasive and Robotic Thyroid and Parathyroid Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9011-1_18

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  • DOI: https://doi.org/10.1007/978-1-4614-9011-1_18

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-9010-4

  • Online ISBN: 978-1-4614-9011-1

  • eBook Packages: MedicineMedicine (R0)

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