title: Revision parathyroidectomy guided by intraoperative radionuclide imaging.
abstract: 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.
authors.affiliation: Departments of Otolaryngology, Head and Neck Surgery, Rabin Medical Center (Beilinson Campus), Petah Tiqva, Israel. gidybahar@yahoo.com
authors.forename: Ben
authors.initials: B
authors.lastname: Nageris
authors.forename: Dan
authors.initials: D
authors.lastname: Guttman
authors.forename: Gideon
authors.initials: G
authors.lastname: Bahar
authors.forename: Moshe
authors.initials: M
authors.lastname: Melloul
authors.forename: Raphael
authors.initials: R
authors.lastname: Feinmesser
authors.forename: Shlomo
authors.initials: S
authors.lastname: Schneebaum
mesh_terms: 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
chemical_list: D010281:Parathyroid Hormone; D019275:Radiopharmaceuticals; D010758:Phosphorus; D017256:Technetium Tc 99m Sestamibi; D002118:Calcium