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Research Letter
August 6, 2020

Targeted Parathyroidectomy—Use of the Atraumatic Microvascular Clamp

Author Affiliations
  • 1Department of Otolaryngology–Head & Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, New York
JAMA Otolaryngol Head Neck Surg. 2020;146(9):863-864. doi:10.1001/jamaoto.2020.1787

Current parathyroid localization techniques have made parathyroidectomy a safe procedure with excellent outcomes.1 However, despite the use of anatomical and functional imaging techniques, a hyperfunctioning adenoma may not be determined preoperatively. If intraoperative techniques fail to identify the adenoma,2 isolating a gland from systemic circulation with a microvascular clamp applied to the pedicle is a useful tool to obtain immediate feedback regarding its hormonal contribution.3