Prevention of hypoparathyroidism with indocyanine green in transoral thyroidectomy: Pilot study

The prevalence of hypoparathyroidism following thyroidectomy is estimated to range from 15%, with a higher incidence observed in transoral endoscopic thyroidectomy via vestibular approach (TOETVA). OBJECTIVE: To describe the impact of intraoperative use of indocyanine green (ICG) to identify parathyroid glands in reducing postoperative hypoparathyroidism. MATERIAL AND

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No actionable change for audiologists; this study addresses a surgical complication of thyroidectomy with no direct audiology application.

Hypoparathyroidism can cause low calcium levels that may affect neuromuscular function, but this study has no meaningful implication for audiology clinical practice.

1. 01Pilot study evaluated indocyanine green dye to reduce parathyroid gland damage during transoral thyroidectomy.
2. 02Hypoparathyroidism (loss of parathyroid function) is a known surgical complication affecting calcium regulation.
3. 03Published in Revista Medica del Instituto Mexicano del Seguro Social.
4. 04Audiology relevance is incidental and not the focus of the research.

PMID

42090720

DOI

10.5281/zenodo.18715336.

Journal

Revista Medica del Instituto Mexicano del Seguro Social

Publication type

research_article

Evidence level

4

Population

Patients undergoing transoral endoscopic thyroidectomy

Intervention

Indocyanine green fluorescence imaging to identify and preserve parathyroid glands