Trans-oral robotic surgical excision of an ectopic parathyroid adenoma

Document Type

Article

Publication Date

3-1-2016

Publication Title

J Robot Surg

Abstract

BACKGROUND: The pyriform sinus is a potential location for ectopic parathyroid tissue and we describe the use of trans-oral robotic to excise the ectopic tissue.

METHODS: A 55-year-old female presented with primary hyperparathyroidism. 4D computed tomography and Sestimibi scan revealed a 1.2 × 0.7 cm mass in the left pyriform sinus. Using the da Vinci SI robot, a 1 cm hypopharyngeal incision was made with electrocautery in the left pyriform sinus and used to excise the mass.

RESULTS: Ectopic mass was removed via trans-oral robotic approach and final pathology confirmed parathyroid tissue. Parathyroid hormone level dropped from 135.8 to 13.3 pg/ml 15 min after excision of the mass.

CONCLUSION: Ectopic parathyroid tissue can present in many different areas of the neck, with the pyriform sinus being a potential location. The trans-oral robotic parathyroidectomy confers the advantage of the lack of an external incision for removal of ectopic parathyroid adenoma.

Medical Subject Headings

Adenoma; Female; Humans; Middle Aged; Oral Surgical Procedures; Parathyroid Neoplasms; Robotic Surgical Procedures

PubMed ID

26566887

Volume

10

Issue

1

First Page

73

Last Page

75

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