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- W3091507342 abstract "Introduction The parathyroid glands (PGs) are critical for calcium regulation and homeostasis. The preservation of PGs during neck surgery is crucial to avoid postoperative hypoparathyroidism. There are no existing guidelines for intraoperative PG identification, and the current approach relies heavily on the experience of the operating surgeon. A technique that accurately and rapidly identifies PGs would represent a useful intraoperative adjunct.Areas covered This review aims to assess common dye and fluorescence-based PG imaging techniques and examine their utility for intraoperative PG identification. A literature search of published data on methylene blue (MB), indocyanine green (ICG) angiography, near-infrared autofluorescence (NIRAF), and the PGs between 1971 and 2020 was conducted on PubMed.Expert opinion NIRAF and near-infrared (NIR) parathyroid angiography have emerged as promising and reliable techniques for intraoperative PG identification. NIRAF may aid with real-time identification of both normal and diseased PGs and reduce the risk of postoperative complications such as hypocalcemia. Further large prospective multicenter studies should be conducted in thyroid and parathyroid surgical patient populations to confirm the clinical efficacy of these intraoperative NIR-based PG detection techniques." @default.
- W3091507342 created "2020-10-08" @default.
- W3091507342 creator A5002339848 @default.
- W3091507342 creator A5014283464 @default.
- W3091507342 creator A5028077637 @default.
- W3091507342 creator A5029332910 @default.
- W3091507342 date "2020-10-19" @default.
- W3091507342 modified "2023-10-11" @default.
- W3091507342 title "Novel techniques for intraoperative parathyroid gland identification: a comprehensive review" @default.
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