Abstract

Surgical treatment of primary hyperparathyroidism can be complicated by the presence of ectopic mediastinal parathyroid adenomas, which occurs in up to 25% of cases. The majority of mediastinal parathyroid glands can be removed through a cervical incision. However, when this approach is inadequate for access to deeper glands, traditional approaches such as mediastinoscopy, sternotomy or thoracotomy are required. Historically, extracervical approaches to ectopic glands can be associated with increased surgical risk and complications.

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