{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:05:31Z","timestamp":1756339531548,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2022,2,15]]},"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:p>Ectopic parathyroid adenomas are a rare congenital anomaly despite the complex migration parathyroid glands undergo during development. Rarer still, these can be found in the hypopharynx, become adenomas and be the cause of primary hyperparathyroidism. We present a case of a woman in her 50s who underwent transoral robotic surgery (TORS) to remove her hypopharyngeal ectopic parathyroid adenoma and cure her primary hyperparathyroidism without complication. This is a radical change in practice compared with traditional open, transverse cervical approaches. We demonstrate the efficacy of using TORS for this unusual case, highlighting its versatility and the need to continue to search for opportunities to best use this advancing technology, especially when it can improve patient outcomes.<\/jats:p>","DOI":"10.1136\/bcr-2021-248070","type":"journal-article","created":{"date-parts":[[2022,3,4]],"date-time":"2022-03-04T11:13:50Z","timestamp":1646392430000},"page":"e248070","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Transoral robotic surgical excision of hypopharyngeal ectopic parathyroid adenoma causing primary hyperparathyroidism"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9261-2511","authenticated-orcid":false,"given":"Tobias","family":"James","sequence":"first","affiliation":[{"name":"Department of ENT, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shane","family":"Lester","sequence":"additional","affiliation":[{"name":"Department of ENT, James Cook University Hospital, Middlesbrough, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2022,3,4]]},"reference":[{"key":"2025082709141045000_15.3.e248070.1","doi-asserted-by":"publisher","DOI":"10.1038\/nrendo.2017.104"},{"key":"2025082709141045000_15.3.e248070.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-019-01751-8"},{"key":"2025082709141045000_15.3.e248070.3","first-page":"337","article-title":"Main surgical principles and methods in surgical treatment of primary hyperparathyroidism","volume":"53","author":"Uluda\u011f","year":"2019","journal-title":"\u015ei\u015fli Etfal Hastan T\u0131p B\u00fcl"},{"key":"2025082709141045000_15.3.e248070.4","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.133.1.101"},{"key":"2025082709141045000_15.3.e248070.5","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.anorl.2012.04.008","article-title":"Ectopic pyriform sinus parathyroid adenoma","volume":"130","author":"Guevara","year":"2013","journal-title":"Eur Ann Otorhinolaryngol Head Neck Dis"},{"key":"2025082709141045000_15.3.e248070.6","doi-asserted-by":"crossref","first-page":"E150","DOI":"10.1002\/hed.24010","article-title":"Transoral robotic-assisted surgical excision of a retropharyngeal parathyroid adenoma: a case report","volume":"37","author":"Bearelly","year":"2015","journal-title":"Head Neck"},{"key":"2025082709141045000_15.3.e248070.7","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1007\/s11701-015-0545-9","article-title":"Trans-Oral robotic surgical excision of an ectopic parathyroid adenoma","volume":"10","author":"Smith","year":"2016","journal-title":"J Robot Surg"},{"key":"2025082709141045000_15.3.e248070.8","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1007\/s11701-018-0843-0","article-title":"Transoral robotic resection of a retropharyngeal parathyroid adenoma: a case report","volume":"13","author":"Kane","year":"2019","journal-title":"J Robot Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-248070","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T16:14:18Z","timestamp":1756311258000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-248070"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2022,3,4]]},"published-print":{"date-parts":[[2022,3]]}},"alternative-id":["10.1136\/bcr-2021-248070"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-248070","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2022,3]]}}}