The auto-transplantation site is directed by the pathological condition directing bilateral neck exploration (BNE):
As a general rule of thumb:
If the devascularized gland is morphologically normal:
It is transplanted into the sternocleidomastoid muscle
If the devascularized gland is morphologically abnormal:
The gland is transplanted into a site remote from the operative field:
Such as the brachioradialis muscle
Procedure for auto-transplant into brachioradialis. Theseimages demonstrate the steps taken to transplant an abnormal parathyroidgland into the right brachioradialis muscle of a patient with tertiaryhyperparathyroidism. (a) A 2-cm incision is made over the brachioradialismuscle approximately 5 cm distal to the cubital crease. The dissectionis continued down to the deep fascia, with care taken to identifyand protect the posterior cutaneous nerve of the forearm (a). (b) Thefascia is incised and a 1-cm pocket is created in the muscle. (c) Themorcellated parathyroid tissue is placed into the pocket. (d) The fasciais closed, and the position of the auto-transplant is marked with a Hemoaclip at its proximal and distal extent, and a Prolene suture betweenthese
My name is Rodrigo Arrangoiz I am a breast surgeon/ thyroid surgeon / parathyroid surgeon / head and neck surgeon / surgical oncologist that works at Center for Advanced Surgical Oncology in Miami, Florida.
I was trained as a surgeon at Michigan State University from (2005 to 2010) where I was a chief resident in 2010. My surgical oncology and head and neck training was performed at the Fox Chase Cancer Center in Philadelphia from 2010 to 2012. At the same time I underwent a masters in science (Clinical research for health professionals) at the University of Drexel. Through the International Federation of Head and Neck Societies / Memorial Sloan Kettering Cancer Center I performed a two year head and neck surgery and oncology / endocrine fellowship that ended in 2016.
Mi nombre es Rodrigo Arrangoiz, soy cirujano oncólogo / cirujano de tumores de cabeza y cuello / cirujano endocrino que trabaja Center for Advanced Surgical Oncology en Miami, Florida.
Fui entrenado como cirujano en Michigan State University (2005 a 2010 ) donde fui jefe de residentes en 2010. Mi formación en oncología quirúrgica y e n tumores de cabeza y cuello se realizó en el Fox Chase Cancer Center en Filadelfia de 2010 a 2012. Al mismo tiempo, me sometí a una maestría en ciencias (investigación clínica para profesionales de la salud) en la Universidad de Drexel. A través de la Federación Internacional de Sociedades de Cabeza y Cuello / Memorial Sloan Kettering Cancer Center realicé una sub especialidad en cirugía de cabeza y cuello / cirugia endocrina de dos años que terminó en 2016.
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Rodrigo Arrangoiz MS, MD, FACS, FSSO 