title: Parathyroid autotransplantation in extensive head and neck resections: case series report.
abstract: Permanent or temporary hypoparathyroidism may be a debilitating result of radical cervical surgery, as noted most commonly following thyroid or parathyroid surgery. However, it can also be the outcome of any surgical procedure involving bilateral extensive manipulation of the anterior neck triangle, especially in order to ensure oncologically adequate surgical margins. We report our experience of three patients that underwent parathyroid immediate autotransplanation following extensive surgical manipulations of the neck region for oncological reasons. PTH levels were restored to normal by the fourth postoperative week, allowing us to wean the patients off calcium and vitamin D3 supplementation, which was attributed to full autograft function. Parathyroid autotransplantation, immediate or delayed, is a simple and safe technique which should be considered by the surgeon whenever there is a high risk for postoperative hypoparathyroidism following radical operations of the neck for oncological reasons.
authors.affiliation: 2nd Department of Surgery, Aretaieion Hospital, University of Athens Medical School, 1st Rimini Street, Chaidari 12462, Greece. p_athanasopoulos@yahoo.com
authors.forename: Panagiotis G
authors.initials: PG
authors.lastname: Athanasopoulos
authors.forename: Maria
authors.initials: M
authors.lastname: Kyriazi
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Arkadopoulos
authors.forename: Dionysios
authors.initials: D
authors.lastname: Dellaportas
authors.forename: Asimina
authors.initials: A
authors.lastname: Manta
authors.forename: Theodosios
authors.initials: T
authors.lastname: Theodosopoulos
authors.forename: Aliki
authors.initials: A
authors.lastname: Tympa
authors.forename: Ioannis
authors.initials: I
authors.lastname: Vassileiou
authors.forename: Vassilios
authors.initials: V
authors.lastname: Smyrniotis
mesh_terms: D000368:Aged; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D007011:Hypoparathyroidism / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010280:Parathyroid Glands / Q000637:transplantation*; D010281:Parathyroid Hormone / Q000097:blood; D011183:Postoperative Complications; D011379:Prognosis; D014182:Transplantation, Autologous
chemical_list: D010281:Parathyroid Hormone
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