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Pre-operative parathyroid localisation: surgical review of sesta-methoxyisobutylisonitrile images is important

Published online by Cambridge University Press:  04 December 2009

A A Awobem  and
R J A England
A A Awobem*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, UK
R J A England
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, UK
*
Address for correspondence: Dr A A Awobem, Department of Otolaryngology and Head and Neck Surgery, Hull Royal Infirmary, Hull, HU3 2JZ, UK. E-mail: [email protected]
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Abstract

Objective:

To highlight the importance of pre-operative review of sesta-methoxyisobutylisonitrile imaging before parathyroid surgery.

Case report:

Technetium-99 m sesta-methoxyisobutylisonitrile scanning is a well established imaging modality undertaken to locate the parathyroid glands prior to parathyroidectomy. Because of the relative lack of detail in the images obtained, the radiological report is normally the most important piece of information used by the surgeon for surgical planning. We report a case that illustrates the importance of surgical image review prior to revision parathyroid surgery. We also present a review of literature highlighting the need for surgical review of such imaging.

Conclusion:

We propose that surgeons routinely review sesta-methoxyisobutylisonitrile images pre-operatively.

Keywords

Technetium-99m-SestamibiParathyroidectomyRevision
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 6 , June 2010 , pp. 674 - 676
Copyright
Copyright © JLO (1984) Limited 2009

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