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Fig. 1 | Journal of Otolaryngology - Head & Neck Surgery

Fig. 1

From: Subtotal Parathyroidectomy and Relocation of the Parathyroid Remnant for Renal Hyperparathyroidism: modification of a traditional operation

Fig. 1

Schematic diagram of the relocating procedure of either the IPG or SPG. a Legend: represents the typical location of the superior (SPG) and inferior (IPG) parathyroid glands supplied by inferior thyroid artery (ITA) and their relationship with the recurrent laryngeal nerve (RLN). b Legend: represents the relocated position of the new IPG. The SPG was removed after ligating the vascular input from the ITA. The IPG is relocated to a new plane by mobilizing the inferior thyroid pedicle to allow positioning without excessive tension on the vascular pedicle. c Legend: represents the relocated position of the new SPG. The IPG was removed after ligating the vascular input from the ITA. The SPG is relocated to a new plane by mobilizing the superior thyroid pedicle to allow positioning the SPG usually directly through and superficial to the strap muscles

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Journal of Otolaryngology - Head & Neck Surgery

ISSN: 1916-0216

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