TOPOGRAPHIC ANATOMY AND ARTERIAL VASCULAR IZATION OF THE PARATHYROID-GLANDS - PRACTICAL APPLICATIONS

During the last few years, surgery of primary and secondary hyperparat hyroidism has seen remarkable progress. The risks of this surgery are represented essentially by persistant or recurrent hyperparathyroidism and hypoparathyroidism. On the other hand, indications of thyroidecto my are more and more relevant in thyroid pathology. One of the main co mplications of this surgery is hypoparathyroidism. In these circumstan ces, the surgeon should know the anatomy and vascularisation of the pa rathyroids. The purpose of this work is to recall the topographic anat omy and to finalize the origin of the arterial vascularisation in orde r to improve the results of the thyroid and parathyroid surgery and to diminish its complications.