Extended parathyroidectomy with reconstruction of the recurrent laryngeal nerve for an atypical tumor of the parathyroid gland: clinical observation
https://doi.org/10.14341/serg12979
Abstract
In this case report the authors inform about primary hyperparathyroidism (PHPT) caused by an atypical tumor of the parathyroid gland. The diagnosis of PHPT was established only six years after the patient developed disease-specific complaints. According to scintigraphy with 99mTc-technetril and multislice computed tomography, a giant adenoma of the parathyroid gland on the right was identified. Considering the increased risk of the patient having a malignant neoplasm of the parathyroid gland, extended surgical treatment of PHPT was performed in the enblock volume. The operation was accompanied by resection of the right recurrent nerve. The reconstruction was performed with the formation of an epineural anastomosis with the medial portion of the fibers of the right vagus nerve, covering the suture line with a vascular coupling from a free graft of the branch of the saphenous jugular vein. Treatment allowed to achieve remission of the disease, but was complicated by the development of right-sided laryngeal paralysis. Vocal function was restored due to the achievement of the medial position of the right vocal fold and motor compensation of the left half of the larynx.
About the Authors
E. A. Ilyicheva
Irkutsk Scientific Centre of Surgery and Traumatology; Irkutsk Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Elena A. Ilyicheva, MD, PhD, Professor
Irkutsk
Competing Interests:
Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
G. A. Bersenev
Irkutsk State Medical University; Irkutsk Regional Clinical Hospital
Russian Federation
Competing Interests:
Russian Federation
Gleb A. Bersenev
1 ulica Borcov Revolyucii, 664003 Irkutsk
Competing Interests:
Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
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1. Рисунок 1. Компьютерная томография шеи с ангиографией. | |
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2. Рисунок 2. Сцинтиграфия околощитовидных желез: 2a — тиреоидная фаза; 2b — паратиреоидная фаза. | |
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4. Рисунок 4. Интраоперационная фотография. | |
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5. Рисунок 5. Микрофотография, окраска гематоксилин-эозин. | |
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6. Рисунок 6. Видеоларингоскопия. | |
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For citations:
Ilyicheva E.A., Bersenev G.A. Extended parathyroidectomy with reconstruction of the recurrent laryngeal nerve for an atypical tumor of the parathyroid gland: clinical observation. Endocrine Surgery. 2025;19(3):63-71. (In Russ.) https://doi.org/10.14341/serg12979
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