How to Perform Bilateral Neck Exploration for Hyperparathyroidism in 2023

Monday, October 2, 2023

5:00 PM - 6:00 PM East Coast USA Time

Location: 202BC

Moderator(s)

Alice Tang, MD

Assistant Professor
University of Cincinnati MedicalCenter/College of Medicine
Cincinnati, OH, United States

Panelist(s)

Elizabeth E. Cottrill, MD

Associate Professor, Otolaryngology H&N Surgery, Program Director
Thomas Jefferson University Hospital
Philadelphia, PA, United States
Maisie L. Shindo, MD

Professor
OHSU
Portland, OR, United States
David L. Steward, MD

H.B. Broidy Professor and Chair
University of Cincinnati College of Medicine Department of Otolaryngology-Head & Neck Surgery
Cincinnati, OH, United States
David C. Shonka, Jr., MD

Associate Professor
University of Virginia School of Medicine
Charlottesville, VA, United States

Disclosure(s):

Alice Tang, MD: No relevant relationships to disclose.

Elizabeth E. Cottrill, MD: No relevant relationships to disclose.

Maisie L. Shindo, MD: No relevant relationships to disclose.

David L. Steward, MD: No relevant relationships to disclose.

David C. Shonka, MD, Jr.: No relevant relationships to disclose.

PROGRAM DESCRIPTION: Case Based Presentations that will highlight:
-Differentiating between hereditary primary, secondary and tertiary hyperparathyroidism (multigland hyperparathyroidism)
-When to expect and plan for bilateral neck exploration for parathyroid surgery (Non-localizing parathyroid adenoma, Hereditary primary hyperplasia vs non-hereditary primary hyperplasia)
-Understand the work up for multi-gland disease in hyperparathyroidism, with attention to secondary and tertiary hyperparathyroidism and post-operative medical management (include hungry bone syndrome)
-What happens if preoperative localization imaging is a false positive during surgery and the strategy to bilateral neck exploration? Tips and advice from the experts

OUTCOME OBJECTIVE 1: When to consider or perform a bilateral neck exploration for primary hyperparathyroidism

OUTCOME OBJECTIVE 2: Surgical techniques and intraoperative decision making during bilateral neck exploration

OUTCOME OBJECTIVE 3: Differences in surgical management of secondary/tertiary hyperparathyroidism

BACKGROUND STATEMENT: Primary hyperparathyroidism caused by a single adenoma is often a simple minimally invasive resection. However, bilateral exploration of the neck can unexpected while performing parathyroidectomies and can be very challenging.