Revision parathyroidectomy guided by intraoperative radionuclide imaging.
BACKGROUND
Technetium-99m sestamibi scintigraphy has become one of the most popular techniques for localization of the parathyroid gland after failure of primary neck exploration.


OBJECTIVE
To examine the efficacy of sestamibi with the hand-held gamma ray detecting probe for the identification of parathyroid adenomas during revision parathyroidectomy.


METHODS
We reviewed six cases of probe-assisted neck exploration for parathyroid lesions following unsuccessful primary exploration.


RESULTS
In all cases the pathologic glands were successfully detected and removed.


CONCLUSIONS
With careful planning, a gamma ray detecting probe can be used optimally 2-3 hours after technetium-99m sestamibi injection. The probe is efficient, easy and convenient to use.
Nageris
Ben
B
Departments of Otolaryngology, Head and Neck Surgery, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel. gidybahar@yahoo.com
Guttman
Dan
D
Bahar
Gideon
G
Melloul
Moshe
M
Feinmesser
Raphael
R
Schneebaum
Shlomo
S
D000236:Adenoma / Q000097:blood / Q000000981:diagnostic imaging* / Q000601:surgery*; D000328:Adult; D000368:Aged; D002118:Calcium / Q000097:blood; D004867:Equipment Design; D005260:Female; D005720:Gamma Rays; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation / Q000379:methods*; D010281:Parathyroid Hormone / Q000097:blood; D010282:Parathyroid Neoplasms / Q000097:blood / Q000000981:diagnostic imaging* / Q000601:surgery*; D016105:Parathyroidectomy / Q000379:methods*; D010758:Phosphorus / Q000097:blood; D015641:Radiography, Interventional / Q000295:instrumentation / Q000379:methods*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D012086:Reoperation / Q000295:instrumentation / Q000379:methods*; D017256:Technetium Tc 99m Sestamibi; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
D010281:Parathyroid Hormone; D019275:Radiopharmaceuticals; D010758:Phosphorus; D017256:Technetium Tc 99m Sestamibi; D002118:Calcium