Overview
“Scarless” parathyroidectomy or transoral parathyroidectomy is a version of minimally invasive parathyroidectomy (MIP) that focuses on removal of a single parathyroid gland while utilizing additional testing to ensure that a patient has been cured. The primary difference is that there is no visible scar, meaning that strangers will not ask you what surgery you had done. It involves accessing the parathyroid glands through the lower lip. It is an excellent option for patients who are concerned about the cosmetic appearance of a neck scar or want to maintain health privacy.
Dr Russell has done more scarless parathyroidectomy surgeries than almost any surgeon in the world.
Procedure
During “scarless” parathyroidectomy, the surgeon makes small incisions inside the lower lip to access the parathyroid glands. Specialized instruments are used to remove the glands through these incisions. The procedure is performed under general anesthesia and usually takes a few hours. This technique avoids any external incisions, leaving no visible scar on the neck. The pocedure is performed under general anesthesia.
Benefits and Risks
The primary benefit of “scarless” parathyroidectomy is the absence of a visible scar, which can be particularly important for patients concerned about health privacy. Other studies have demonstrated benefits which include a quicker recovery time and reduced postoperative pain compared to traditional surgery. Potential risks include infection, bleeding, and damage to surrounding structures such as the recurrent laryngeal nerve and other parathyroid glands. These risks are similar to those associated with traditional parathyroid surgery, and your surgeon will discuss them with you in detail.
Recovery and Follow-Up
Recovery from “scarless” parathyroidectomy is typically the same as traditional surgery, with most patients able to return home the same day. Mild discomfort in the lower lip and neck is common and can be managed with over-the-counter pain medications. It is important to follow postoperative care instructions to ensure proper healing. Regular follow-up appointments will be scheduled to monitor calcium levels and ensure the success of the surgery.
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