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Parathyroidectomy Overview

A parathyroidectomy is an operation in which one or more of the parathyroid glands in the neck are removed. Generally this procedure is performed in a hospital setting under a general anesthetic.The operation consists of exploring the neck and removing the affected parathyroid gland. Not uncommonly an intra operative parathyroid hormone assay is obtained in order to assess the response of the patient to removal of the affected gland. A frozen section may also be performed in order to confirm the nature of the removed tissue. Based upon the results of these studies, the surgeon will then determine whether or not further exploration and removal of additional tissue will be required.

Patient Instructions


  • For one (1) week prior to surgery, you should not take any aspirin or aspirin containing drugs, nor any ibuprofen or ibuprofen containing drugs. Examples of these include Advil(Motrin), Naprosyn (Naproxen), or Fiorinal.
  • Supplements which should be avoided include Vitamin E capsules,omega 3 (fish oil), or glucosamine chondroitin. If you are required to be on any of these medications, discuss this matter directly with your Ear, Nose & Throat Associates of Chester County provider before stopping.
  • If you are on Coumadin (Warfarin), Aspirin,or Plavix, please discuss with the prescribing physician about how to adjust this medication prior to your surgical procedure.


  • You will have a drain in the wound site. This prevents fluid from accumulating and is generally removed the following day. In the immediate postoperative period your serum calcium level and parathyroid hormone assay level will be checked. Most patients are discharged from the hospital one day postoperatively. Generally most are able to resume normal activity returning to work or school within one to two weeks.
  • Complications of parathyroid surgery are rare and may include: bleeding, the collection of blood or serum under the skin, a hoarseness or weakness of voice, and infection. All patients who have this surgery experience some numbness of the region of the skin around the incision. In extremely rare cases there might be a compromise of the airway.
  • After discharge from the hospital, your physician will continue to monitor your calcium level.Some patients may need to take calcium with Vitamin D in order to supplement the function of the parathyroid gland(s) that have been removed.

If you have any questions concerning your comfort or care, please contact our office at (610) 879-0068.

Erin O. from Downingtown, PA

“I had stopped taking my allergy medicine and ended up with the worse sinus infection of my life. The staff at Ear, Nose & Throat Associates of Chester County genuinely will provide you with the best care. I was overwhelmed by the kindness, concern, and sense of urgency everyone gave. My phone calls were returned promptly and time was made to see me in the office when it was an emergency.”

Connie J. from West Chester, PA

“I can say after years of coming to Ear, Nose & Throat Associates of Chester County, my relationship and trust with Dr. Marriotti has grown tremendously. He is personable, friendly and I appreciate his input with my hearing condition. The staff at Ear, Nose & Throat Associates of Chester County is always cheery and pleasant. I enjoy my visits and always leave feeling like I am in good hands.”

Dauna P. from University Lincoln, PA

“I am so grateful for the care Dr. Picariello has given for my complex and serious brain diagnosis. He has made such an impression on the way the process was handled. I shall never forget him and how humble he was when dealing with my condition. He is truly one of the best around and I am fortunate for his high ethical standards and professionalism.”

Kathy S. from Schwenksvile, PA

“The knowledge, encouragement, concern, and individual attention the doctors of Ear, Nose & Throat Associates of Chester County had demonstrated was far beyond my expectations. The office atmosphere is professional yet friendly. The doctors know their profession well and are able to explain in basic understandable terms. They made sure we were comfortable and took their time going over everything extensively.”

James B., from Coatesville, PA

“The allergy shot process has been a great experience and has prevented a reoccurrence of my nasal polyps, and decreased the need for my asthma inhaler. The allergy staff is excellent.”