J Otolaryngol Head Neck Surg 2017 Oct 23;46(1):60. Epub 2017 Oct 23.
Department of Otolaryngology-Head and Neck Surgery, London Health Sciences Centre, Schulich School of Medicine& Dentistry, Western University, 800 Commissioners Road East, Suite B3-433A, London, ON, N6A 5W9, Canada.
: We describe a modification of the conventional subtotal parathyroidectomy operation where the parathyroid gland(s) remnant is repositioned with intact vascular supply to a plane superficial to the infrahyoid strap muscles and immediately under the skin incision. This technique called Subtotal Parathyroidectomy and Remnant Relocation (SPARE) retains all the metabolic advantages of the conventional operation with the added advantage of easier identification of a recurrent hyperplastic remnant if re-exploration becomes necessary.Methods
: In the SPARE technique, four parathyroid glands were identified and the quality of each gland and the length of each vascular pedicle to the parathyroid glands were assessed. Read More