Parathyroidectomy
Parathyroidectomy Services
At Spokane ENT, we provide comprehensive evaluation and surgical management of parathyroid disorders, including primary hyperparathyroidism, secondary hyperparathyroidism, and parathyroid tumors. The parathyroid glands are small endocrine glands located in the neck near the thyroid gland that regulate calcium levels in the blood. When these glands become overactive or develop tumors, they can cause elevated blood calcium levels, leading to symptoms such as kidney stones, bone loss, fatigue, and cognitive changes. Our team specializes in the evaluation and surgical treatment of parathyroid disorders, working closely with endocrinologists and other specialists to provide comprehensive, multidisciplinary care.
We utilize advanced diagnostic techniques to evaluate parathyroid conditions, including detailed history taking to assess symptoms, medical history, and risk factors. Our evaluation includes comprehensive physical examination and assessment of blood calcium and parathyroid hormone (PTH) levels. We perform imaging studies including ultrasound and sestamibi scans to locate abnormal parathyroid glands, which is essential for planning minimally invasive surgical approaches. Our team works closely with endocrinologists to optimize medical management when appropriate and determine the best timing for surgical intervention.
Our treatment approach for parathyroid conditions is individualized based on the specific diagnosis and patient factors. For patients with primary hyperparathyroidism, we offer parathyroid surgery including focused parathyroidectomy (removal of the abnormal gland) or bilateral neck exploration when indicated. We utilize modern surgical techniques including intraoperative parathyroid hormone monitoring to confirm successful removal of all abnormal tissue. Minimally invasive approaches may be possible when preoperative localization is accurate, allowing for smaller incisions and faster recovery. Our goal is to provide safe, effective surgical treatment that normalizes calcium levels while minimizing complications. Following surgery, we provide comprehensive postoperative care and monitor calcium levels to ensure successful outcomes.
Frequently Asked Questions
Parathyroidectomy is surgery to remove one or more parathyroid glands, usually for hyperparathyroidism (overactive parathyroid causing high calcium). The parathyroids are small glands in the neck near the thyroid.
Surgery is recommended when hyperparathyroidism causes high blood calcium, kidney stones, bone loss, or other symptoms. Removing the overactive gland(s) usually corrects the problem.
Surgery may be done through a small neck incision. Preoperative imaging helps locate the abnormal gland(s). Minimally invasive techniques are used when appropriate.
Most patients go home the same day or after a brief stay. You'll have blood tests to confirm calcium normalization. Your surgeon will provide specific recovery instructions.
If you have high calcium, kidney stones, or bone loss, your primary care or endocrinologist may refer you to an ENT or endocrine surgeon for parathyroid evaluation and possible surgery.