Am J Otolaryngol Head Neck Surg | Volume 8, Issue 3 | Research Article | Open Access

Different Results of Reoperations for Persistent and Recurrent Primary Hyperparathyroidism

Abboud B^1*, Meouch M¹ and Abboud C²

¹Department of General Surgery, Geitaoui Hospital, Faculty of Medicine, Lebanese University, Beirut, Lebanon ²Department of Radiology, Hotel-Dieu Hospital, Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon

^*Correspondance to: Abboud B 

Abstract

Background: To report results of reoperation for hypercalcemia after parathyroidectomy for primary Hyperparathyroidism (HPT). Methods: Two groups: Group 1: Persistent (PHPT), Group 2: Recurrent (RHPT). Results: 81 patients, 60% in group 1 and 40% in group 2 were included. Ultrasound, MIBI Scan, 4D CT scan, and MRI localization rate was 84%, 86%, 91%, and 88% respectively. 93% of abnormal parathyroid gland(s) were operated via a cervicotomy and 7% via a mediastinal approach. Parathyroiod adenoma was showed in 80% and 72% and parathyromatosis in 2% and 9 % in group 1 and group 2 respectively (statistically significant difference). We noted a statistically significant difference in the presence of supernumerary and mediastinal gland (4% vs. 13% and 8% vs. 22%) in groups 1 and 2 respectively. Cure rate was 94% in both groups. Conclusion: Parathyroiod adenoma is more common in group 1, whereas parathyromatosis, supernumerary and mediastinal gland are more common in group 2. The cure rate of reoperation was 94%.

Keywords:

Primary hyperparathyroidism; Persistent hyperparathyroidi; Recurrent hyperparathyroidism; Localization studies; Surgery

Citation:

Abboud B, Meouch M, Abboud C. Different Results of Reoperations for Persistent and Recurrent Primary Hyperparathyroidism. Am J Otolaryngol Head Neck Surg. 2026;8(3):1275..