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March 1971

Control of Hypoparathyroidism: After Extensive Neck Surgery

Author Affiliations

From the Department of Otolaryngology and Maxillofacial Surgery, Northwestern University McGaw Medical Center, and the Chicago Wesley Memorial Hospital, Chicago.

Arch Otolaryngol. 1971;93(3):249-255. doi:10.1001/archotol.1971.00770060387005

Ten of 14 patients who underwent extensive neck surgery and mediastinal dissection developed clinical and laboratory evidence of hypoparathyroidism. Postoperative surveillance of serum calcium and phosphate is essential for adequate control of this complication. In six cases control of the hypoparathyroidism was difficult. In all cases, each patient eventually established his own level of supplemental calcium and calciferol needs. Milk restricted diet in the form of blenderized feedings seemed to be essential in early control.