An: 2018, Nr.2, Articol Nr. 7
SURGICAL IMPORTANCE OF THE PARATHYROID GLAND’S ANATOMICAL RELATIONSHIPS
M. Nadragea - “Carol Davila” Doctoral School
O. Enciu, A. Miron - Elias University Emergency Hospital, Bucharest; Elias University Emergency Hospital, Bucharest, General Surgery Department
I. Bulescu, A. Breazu, C.M. Pantu, F.M. Filipoiu - “Carol Davila” University of Medicine and Pharmacy, Bucharest, Department of Anatomy
SURGICAL IMPORTANCE OF THE PARATHYROID GLANDS’ ANATOMICAL RELATIONSHIPS (Abstract): Acute and chronic parathyroid insufficiency syndromes are ones of the most common complications after total thyroidectomy. Preservation of the parathyroid glands (PGs) and their vascularity is essential in preventing the hypoparathyroidism after thyroidectomy. The location of the PGs varies widely as a result of different degree of migration during embryological development. A basic knowledge of the embryologic development and the anatomical relationships of the parathyroid glands is very important for the detection of the parathyroid glands in normal or unusual location. Using capsular dissection and ligating the tertiary branches of the inferior thyroid artery on the gland surface during thyroidectomy, we can identify and preserve the parathyroid glands, along with their blood supply. In this paper we describe the anatomical relationships of the PGs and the location variability, emphasizing on the importance of understanding the surgical anatomy of the PGs to the performance of safe thyroid surgery.
Key words: HYPOPARATHYROIDISM, CAPSULAR DISSECTION, THYROIDECTOMY, TERTIARY BRANCHES OF INFERIOR THYROID ARTERY, PARATHYROID GLANDSFull text