[The parathyroid risk in thyroid surgery (author's transl)].
A parathyroid insufficiency, defined like a functional deficit sufficient to pull down calcemia underneath 75 mg/l and/or give clinical obvious disturbances of neuromuscular hyperexcitability, have been observed on 57 patients (2,7%). The risk as interested bilateral gestures (5,5%) with a maximum for total thyroïdectomies (17,7%), surgery for carcinoma (8,5%) and Basedow's illness (8,3%). Less than half the patients can stop their vitaminocalcical treatment, and before the sixth month. First prevention is respect of the frail glandules and their vascularisation, obliging a particular, precise and bloodness surgery. Finally the autotransplantation of parathyroid gland accidentally pulled off or deteriored seems to constitute an interesting contribution.
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007011:Hypoparathyroidism / Q000453:epidemiology / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D011379:Prognosis; D012306:Risk; D012737:Sex Factors; D013961:Thyroid Gland / Q000098:blood supply / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects* / Q000379:methods; D013997:Time Factors; D014182:Transplantation, Autologous
Le risque parathyroïdien dans la chirurgie du corps thyroïde.