Postoperative Hypoparathyroidism and the Viability of the Parathyroid Glands During Thyroidectomyopen access
- Authors
- Ji, Yong Bae; Song, Chang Myeon; Sung, Eui Suk; Jeong, Jin Hyeok; Lee, Chang Beom; Tae, Kyung
- Issue Date
- Sep-2017
- Publisher
- KOREAN SOC OTORHINOLARYNGOL
- Keywords
- Parathyroid Glands; Hypoparathyroidism; Hypocalcemia; Thyroidectomy
- Citation
- CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY, v.10, no.3, pp.265 - 271
- Indexed
- SCIE
SCOPUS
KCI
- Journal Title
- CLINICAL AND EXPERIMENTAL OTORHINOLARYNGOLOGY
- Volume
- 10
- Number
- 3
- Start Page
- 265
- End Page
- 271
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/4083
- DOI
- 10.21053/ceo.2016.00724
- ISSN
- 1976-8710
- Abstract
- Objectives
To prevent hypoparathyroidism after thyroidectomy, preservation of the parathyroid glands and their vascularity are essential. The aim of this study was to determine the association between postoperative parathyroid function and the viability of the parathyroid glands during thyroidectomy.
Methods
We prospectively analyzed 111 patients who underwent total thyroidectomy and in whom all 4 parathyroid glands were preserved in situ during the operation. The surgeons scored the viability of each parathyroid gland from 0 (normal) to 3 (severely compromised viability) based on its gross appearance and vascularity intraoperatively. The index of parathyroid viability score (IPVS) was defined as the sum of the viability scores of the 4 parathyroid glands. We evaluated the relationship between postoperative parathyroid function and IPVS.
Results
Transient hypoparathyroidism occurred in 25 patients (22.5%), and permanent hypoparathyroidism in 4 patients (3.6%). The IPVS were significantly different in the three groups: 2.87±1.46 in the normal group, 3.68±1.41 in the transient hypoparathyroidism group and 7.50±1.00 in the permanent hypoparathyroidism group. The rates of transient hypoparathyroidism were 13.6% in patients with IPVS 0–2, 23.8% in patients with IPVS 3–4, and 42.9% in patients with IPVS 5–6. All the patients with IPVS of 7 or more had permanent hypoparathyroidism.
Conclusion
IPVS is correlated with the incidence of hypoparathyroidism. It could be a good quantitative indicator of the probability of hypoparathyroidism after thyroidectomy.
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