Clinical features

1 These possible aberrant sites are, of course, of great importance in searching for a parathyroid adenoma in hyperparathyroidism.

2 The parathyroids are usually safe in subtotal thyroidectomy because the posterior rim of the thyroid is preserved. However, they may be

Superior Parathyroid Adenoma
Fig. 193 Normal and abnormal sites of the parathyroid glands (lateral view).
Branchial Pouches
Fig. 194 The derivatives of the branchial pouches. Note that the inferior parathyroid migrates downwards from the 3rd pouch whereas the superior parathyroid (4th pouch) remains stationary.

I inadvertently removed or damaged, with resultant tetany due to the lowered serum calcium.

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