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The role of narrow-band imaging in parathyroid surgery: a preliminary evaluation in five parathyroid adenoma cases

Published online by Cambridge University Press:  18 October 2019

A M Saibene ,
A M Bulfamante ,
P Lozza  and
L De Pasquale
A M Saibene
Affiliation:
Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy
A M Bulfamante*
Affiliation:
Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy
P Lozza
Affiliation:
Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy
L De Pasquale
Affiliation:
Thyroid and Parathyroid Surgery Service, Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Università degli Studi di Milano, Milan, Italy
*
Author for correspondence: Dr Antonio Mario Bulfamante, Otolaryngology Unit, Department of Health Sciences, San Paolo Hospital, Via A. di Rudinì, 8, 20142 Milan, Italy E-mail: antonio.bulfamante90@gmail.com Fax: +39 02 5032 3166
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Abstract

Background

Narrow-band imaging uses selective haemoglobin light absorption to emphasise vascular visualisation and capillary networks.

Objective

This study aimed to evaluate the application of this technique to parathyroid surgery.

Method

This preliminary evaluation was carried out on five consecutive patients with single parathyroid adenoma being considered for minimally invasive video-assisted parathyroidectomy. The adenomas were checked for narrow-band imaging vascular patterns. Minimally invasive video-assisted parathyroidectomy was then carried out in accordance with our standard protocol.

Results

In four out of the five cases, narrow-band imaging integrated the white endoscopic light and direct vision, but in one case narrow-band imaging allowed distinction between the hidden neoplastic tissue and the surrounding structures thanks to the different vascular patterns.

Conclusion

Narrow-band imaging was helpful in properly identifying adenoma. It is suggested that this technique be considered as a means for surgeons to improve their confidence in selected surgical treatments and to improve treatment quality.

Keywords

Parathyroid NeoplasmsEndoscopyVideo-Assisted SurgeryNarrow Band Imaging
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 11 , November 2019 , pp. 1009 - 1011
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A M Bulfamante takes responsibility for the integrity of the content of the paper

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