title: [Pre-operative symptoms and post-operative improvement in patients diagnosed with hyperparathyroidism. Analysis of 120 consecutive cases].
abstract: OBJECTIVE
  To compare the pre-operative and post-operative clinical symptoms in patients diagnosed as having hyperparathyroidism and given surgical treatment, in order to prove the existence of statistically significant improvement.
  
  
  METHODS
  We report here a retrospective study performed on 120 consecutive patients operated on following diagnosis of hyperparathyroidism between 1990 and 2003.
  
  
  RESULTS
  Nephrolithiasis, generalized bone pain and HBP were the most common clinical manifestations. Primary hyperparathyroidisms represented 76.7 %, while secondary ones were 20.8 % and 2.5 % were tertiary. We carried out 85 adenoma removals, 30 sub-total and 5 total parathyroidectomies. We only encountered one case of recurrent palsy and about 25 % of hypocalcemias (2 of them permanent). Osteoarticular pathology and nephrolithiasis suffered by our patients clearly improved after surgery (P< .01) after 2 years of follow-up. There was no significant improvement in HBP, digestive and psychiatric pathology or pruritus.
  
  
  CONCLUSIONS
  The improvement in quality of life for most of the patients operated on for this condition amply justifies parathyroidectomy by an experienced otolaryngology team.
authors.affiliation: Servicio de Otorrinolaringología. Centro Hospitalario Universitario de Badajoz. Badajoz. España. vicentepinorivero@terra.com
authors.forename: Vicente
authors.initials: V
authors.lastname: Pino Rivero
authors.forename: Guillerma
authors.initials: G
authors.lastname: Pardo Romero
authors.forename: Alicia
authors.initials: A
authors.lastname: González Palomino
authors.forename: Carlos
authors.initials: C
authors.lastname: Pantoja Hernández
authors.forename: María Elena
authors.initials: ME
authors.lastname: Mora Santos
authors.forename: Manuel
authors.initials: M
authors.lastname: Rodríguez Carmona
authors.forename: Eladio
authors.initials: E
authors.lastname: Rejas Ugena
authors.forename: Federico
authors.initials: F
authors.lastname: Del Castillo Beneyto
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D006961:Hyperparathyroidism / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult