title: [Preservation of parathyroid during the thyroidectomy].
abstract: OBJECTIVE
  To investigate the protection of the parathyroid in the total thyroidectomy to avoid the postoperative permanent hypoparathyroidism.
  
  
  METHODS
  Forty-three consecutive cases underwent total thyroidectomy from June 2013 to June 2014 in Nanjing Tongren Hospital were reviewed. Of them 26 cases with malignant and 17 cases with benign thyroid diseases.
  
  
  RESULTS
  Intraoperatively, all 4 parathyroid glands were identified in 27 cases, 3 parathyroids in 10 cases and 2 parathyroids in 6 cases. Intraoperative parathyroid transplantation was performed in 6 cases, including 5 cases with 1 parathyroid transplantation and 1 case with 2 parathyroid transplantation. With the follow-up of 1-3 months after surgery, 10 cases presented with transient hypocalcemia, 8 cases with temporary hypoparathyroidism and no case with permanent hypoparathyroidism.
  
  
  CONCLUSIONS
  Accurate identification and conservation in situ or auto-transplantation in total thyroidectomy could be effective for prevention of postoperative permanent hypoparathyroidism.
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
authors.forename: Haidong
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
authors.forename: Shanchun
authors.initials: S
authors.lastname: Gong
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
authors.forename: Yaqun
authors.initials: Y
authors.lastname: Liu
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China.
authors.forename: Qingxiang
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Otorhinolaryngology Head and Neck Surgery, Nanjing Tongren Hospital of Southeast University Medical College, Nanjing 211102, China. Email: yuzk@njtrh.org.
authors.forename: Zhenkun
authors.initials: Z
authors.lastname: Yu
mesh_terms: D035843:Biomedical Research; D006801:Humans; D007011:Hypoparathyroidism / Q000601:surgery*; D010280:Parathyroid Glands; D011184:Postoperative Period; D013959:Thyroid Diseases; D013965:Thyroidectomy / Q000379:methods*; D014182:Transplantation, Autologous