by Dariusz Sagan T, Dariusz Julie A

Jaypee’s Video Atlas of Operative Otorhinolaryngology AND Head & Neck Surgery

by Vicky S Khattar, Bachi T Hathiram
About Video

This video demonstrates the excision of a parathyroid adenoma through a small incision. The adenoma is localized prior to the skin incision with the help of an ultrasound probe. This helps the surgeon to target the dissection accordingly. The incision is made directly over the site of a previously localized solitary parathyroid adenoma. Limited subplatysmal flaps are elevated and the adenoma is dissected taking care not to damage the middle thyroid vein inadvertently. One also needs to be careful while going through the plane between the carotid sheath and thyroid capsule. The parathyroid lies between the posterior surface of the thyroid gland and the prevertebral fascia. Great care is taken when using the minimally invasive technique to avoid even the smallest blood loss, since this will obscure vision.

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