{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T02:27:19Z","timestamp":1792636039680,"version":"4.5.0"},"reference-count":32,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2014,2,4]],"date-time":"2014-02-04T00:00:00Z","timestamp":1391472000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To identify incidence, preoperative features, surgical factors, and postoperative events of incidental parathyroidectomy (IP) during thyroidectomy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>A total of 1068 consecutive patients who underwent thyroidectomy performed by a single surgeon between January 2003 and April 2012 were enrolled in retrospective study with prospectively collected data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>University hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>To assess the impact of IP on study variables, patients were stratified into 2 study groups: IP group and non\u2010IP group. Univariate and multivariate analyses identified significant correlates of IP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In all, 5.4% patients experienced IP. Significant difference (<jats:italic>P<\/jats:italic> &lt;. 001) was in incidence of temporary hypocalcemia between IP group (36.2%) and non\u2010IP group (16.8%). Multivariable logistic regression model identified total thyroidectomy (odds ratio 3.937, 95% confidence interval [CI] 1.462\u201010.601, <jats:italic>P<\/jats:italic> =. 007) and Graves\u2019 disease (odds ratio 2.192, 95% CI 1.157\u20104.158, <jats:italic>P<\/jats:italic> =. 016) as risk\u2010adjusted factors associated with IP. Multivariate analysis of repeated measures identified statistically significant difference of repeated total calcium level (<jats:italic>P<\/jats:italic> &lt;. 001) and ionized calcium level (<jats:italic>P<\/jats:italic> =. 020) between study groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>IP during thyroidectomy might be potential complication. Total thyroidectomy, Graves\u2019 disease, longer operation time, and identification 3 and more parathyroid glands seemed to be predictive factors for IP. IP is significantly associated with temporary hypocalcemia, but not with permanent hypoparathyroidism.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599814521365","type":"journal-article","created":{"date-parts":[[2014,2,5]],"date-time":"2014-02-05T00:38:17Z","timestamp":1391560697000},"page":"754-761","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Incidental Parathyroidectomy during Thyroid Surgery Using Capsular Dissection Technique"],"prefix":"10.1002","volume":"150","author":[{"given":"Pavol","family":"Pra\u017eenica","sequence":"first","affiliation":[{"name":"Department of Otolaryngology 3rd Medical Faculty of the Charles University Military University Hospital Prague Czech Republic"},{"name":"Department of Otolaryngology Midland Regional Hospital Tullamore 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