{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:32:49Z","timestamp":1740126769131,"version":"3.37.3"},"reference-count":41,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund\u2002In Deutschland sind j\u00e4hrlich ca. 8000 Patienten nach Eingriffen an Schilddr\u00fcse, Nebenschilddr\u00fcse und Larynx von einem behandlungsbed\u00fcrftigen postoperativen Hypoparathyreoidismus betroffen. Die Patienten leiden im Akutstadium der Hypokalz\u00e4mie an Par\u00e4sthesien und nicht selten auch \u00fcber viele Jahre hinweg unter der Angst vor einem erneuten k\u00f6rperlichen Kontrollverlust bei schweren postoperativen Tetanien.<\/jats:p><jats:p>Fragestellung\/Ziel\u2002Ziel dieser Arbeit ist es, f\u00fcr die Wichtigkeit des Managements des postoperativen Hypoparathyreoidismus in der endokrinen Chirurgie der Halsregion zu sensibilisieren, einen praktikablen Diagnostikpfad aufzuzeigen und so die effektive Therapie zu erm\u00f6glichen.<\/jats:p><jats:p>Material und Methode\u2002Narratives Review mit Auswertung und Diskussion von relevanten klinischen Originalarbeiten und Expertenempfehlungen.<\/jats:p><jats:p>Ergebnisse und Diskussion\u2002Die fr\u00fchzeitige postoperative Diagnosestellung nach Eingriffen im Halsbereich mittels Bestimmung von Kalzium und Parathormon erm\u00f6glicht den rechtzeitigen Therapiebeginn. Aktives Vitamin D sichert dabei die Resorption von Kalzium, sodass nur eine kombinierte Gabe von Vitamin D und Kalzium in der Lage ist, den postoperativen Kalziumabfall zu mitigieren oder ganz zu verhindern.<\/jats:p><jats:p>Schlussfolgerung\u2002Eine Arbeitsanweisung (SOP) zur Diagnostik und Therapie der postoperativen Hypokalz\u00e4mie sollte in jeder Klinik etabliert werden. Ein entsprechender Entwurf wurde in die Arbeit aufgenommen, damit Diagnose- und Therapiepfad effektiv an lokale Gegebenheiten angepasst werden k\u00f6nnen.<\/jats:p>","DOI":"10.1055\/a-1381-8286","type":"journal-article","created":{"date-parts":[[2021,3,2]],"date-time":"2021-03-02T23:56:51Z","timestamp":1614729411000},"page":"610-617","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative Hypokalz\u00e4mie \u2013 die h\u00e4ufigste Komplikation der\u00a0endokrinen Chirurgie der Halsregion: Akutes Management"],"prefix":"10.1055","volume":"100","author":[{"given":"Anne","family":"Lammert","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4t Heidelberg, Universit\u00e4tsmedizin Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Nowak","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Gef\u00e4\u00df- und Thoraxchirurgie, RoMed\u00a0Klinikum, Rosenheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roland","family":"Weber","sequence":"additional","affiliation":[{"name":"Medizinische Klinik II, RoMed Kliniken, Rosenheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Rotter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universit\u00e4t Heidelberg, Universit\u00e4tsmedizin Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"Sch\u00f6lch","sequence":"additional","affiliation":[{"name":"Chirurgische Klinik, Universit\u00e4t Heidelberg, Universit\u00e4tsmedizin Mannheim, Mannheim, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernhard K.","family":"Kr\u00e4mer","sequence":"additional","affiliation":[{"name":"V. 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