Parathyroid Exploration in the Reoperative Neck: Improved Preoperative Localization with 4D-Computed Tomography

Abstract

Four-dimensional-CT is an ideal tool for preoperative localization of hyperfunctioning parathyroid tissue in the reoperative setting. Localization and successful reoperation are most difficult in patients who have undergone an earlier operation that included resection of at least one hypercellular parathyroid suggesting multigland disease.