{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T18:20:12Z","timestamp":1760898012223},"reference-count":16,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2010,4,26]],"date-time":"2010-04-26T00:00:00Z","timestamp":1272240000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2010,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives\/Hypothesis:<\/jats:title><jats:p>To review a new technique during total thyroidectomy that facilitates parathyroid gland preservation and selective autotransplantation utilizing topical 2% plain lidocaine as a spasmolytic\/vasodilator agent.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design:<\/jats:title><jats:p>Retrospective case series review at a university hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods:<\/jats:title><jats:p>The study population comprised 100 consecutive patients (84 women and 16 men; mean age, 52 years) undergoing total thyroidectomy from January 2007 to December 2008. Interventions were: parathyroid glands (PGs) with signs of devascularization treated with a topical solution of 2% plain lidocaine in an attempt to restore blood flow before committing to autotransplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>The main outcome measure was the incidence of hypoparathyroidism. A total of 40 parathyroid glands were autotransplanted. None of the 100 patients developed permanent hypoparathyroidism. There were no adverse effects utilizing this technique.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>In our experience, the use of lidocaine spasmolysis is a useful technique in thyroid surgery for salvaging devascularized PGs. Its utility as a selection method for PG autotransplantation incurs minimal risk or cost and might further reduce the incidence of permanent hypoparathyroidism. Further study is warranted. Laryngoscope, 2010<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.20948","type":"journal-article","created":{"date-parts":[[2010,4,26]],"date-time":"2010-04-26T15:25:50Z","timestamp":1272295550000},"page":"1342-1344","source":"Crossref","is-referenced-by-count":14,"title":["Parathyroid gland preservation and selective autotransplantation utilizing topical lidocaine in total thyroidectomy"],"prefix":"10.1002","volume":"120","author":[{"given":"Daniel B.","family":"Kuriloff","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Kizhner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,6,25]]},"reference":[{"key":"e_1_2_7_2_2","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-08-0960"},{"key":"e_1_2_7_3_2","first-page":"29","article-title":"Surgical audit of inadvertent parathyroidectomy during total thyroidectomy: incidence, risk factors, and outcome","volume":"11","author":"Rajinikanth J","year":"2009","journal-title":"Medscape J Med"},{"key":"e_1_2_7_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.2009.04894.x"},{"key":"e_1_2_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(98)90106-5"},{"key":"e_1_2_7_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0347(199908)21:5<442::AID-HED10>3.0.CO;2-Z"},{"key":"e_1_2_7_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.1998.92560"},{"issue":"1","key":"e_1_2_7_8_2","article-title":"Routine parathyroid auto\u2010transplantation during subtotal thyroidectomy for benign thyroid disease","volume":"11","author":"Marwah S","year":"2007","journal-title":"Internet J Surg"},{"key":"e_1_2_7_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-005-7729-9"},{"key":"e_1_2_7_10_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.1998.92003"},{"key":"e_1_2_7_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.12.1381"},{"key":"e_1_2_7_12_2","doi-asserted-by":"publisher","DOI":"10.1067\/msy.2001.111125"},{"key":"e_1_2_7_13_2","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.2000.89.6.2268"},{"key":"e_1_2_7_14_2","first-page":"409","article-title":"Hypoparathyroidism after total thyroidectomy","volume":"62","author":"Testini M","year":"2007","journal-title":"Minerva Chir"},{"key":"e_1_2_7_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-007-9405-8"},{"key":"e_1_2_7_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59989770214-6"},{"key":"e_1_2_7_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006780"}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Flary.20948","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.20948","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,17]],"date-time":"2023-10-17T02:56:52Z","timestamp":1697511412000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.20948"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,6,25]]},"references-count":16,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2010,7]]}},"alternative-id":["10.1002\/lary.20948"],"URL":"https:\/\/doi.org\/10.1002\/lary.20948","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,6,25]]}}}