[Results of surgery for hyperparathyroidism].
Since 1983, we have performed 110 parathyroidectomies in 109 patients. The hyperparathyroidism was diagnosed as primary in 102 (93.6%) patients, secondary in 6 (5.5%), and tertiary in 1 (0.9%). Sixty-one patients (55.9%) had single adenomas, 2 (1.8%) had double adenomas, 44 (40.3%) had hyperplasia and 1 (0.9%) had parathyroid cancer. Sixty-five adenomas were resected (59.6%). Subtotal parathyroidectomy was performed in 34 cases (31.2%) and total parathyroidectomy with autotransplant in 10 cases (9.2%). In two cases, primary surgery did not solve hypercalcemia; one underwent successful surgery several months later. Twenty-two patients (20.2%) developed transient hypocalcemia. Persistent hypoparathyroidism was detected in 8 patients (7.3%). After exposure of 220 nerves, 2 patients (0.9%) developed permanent unilateral recurrent paralysis. Our results were similar to those of other series.
Toledano
A
A
Servicio de ORL, Hospital La Paz, Universidad Autónoma de Madrid.
De Diego
J I
JI
Bernáldez
R
R
Gavilán
J
J
D000236:Adenoma / Q000150:complications; D002277:Carcinoma / Q000150:complications; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications / Q000601:surgery*; D006996:Hypocalcemia / Q000209:etiology; D008297:Male; D018482:Muscle, Skeletal / Q000637:transplantation; D010282:Parathyroid Neoplasms / Q000150:complications; D014826:Vocal Cord Paralysis / Q000209:etiology
Resultados de la cirugía del hiperparatiroidismo.