When and How to Perform Bilateral Neck Exploration for Hyperparathyroidism in 2026

Saturday, October 17, 2026

11:00 AM - 12:00 PM PT

Location: West Exhibit Hall A, Learning Zone 6

Moderator(s)

Alice L. Tang, MD

Associate Professor
University of Cincinnati
Cincinnati, OH, United States

Panelist(s)

DS

David L. Steward, MD

Department Chair
University of Cincinnati
Cincinnati, Ohio, United States
Elizabeth E. Cottrill, MD, FACS,

Professor, Residency Program Director, Co-Director Thyroid & Parathyroid Center
Thomas Jefferson University Hospital
Philadelphia, PA, United States
David C. Shonka, Jr., MD

Professor
University of Virginia Medical Center
Charlottesville, Virginia, United States

1) Differentiate between hereditary primary, secondary and tertiary hyperparathyroidism
2) When to expect and plan for bilateral neck exploration for parathyroid surgery?
3) What to do when you have a Non-localizing parathyroid adenoma in primary hyperparathyroidism
4) Hereditary primary hyperplasia vs non-hereditary primary hyperplasia
• Understand the work up for multi-gland disease in hyperparathyroidism, with attention to secondary and tertiary hyperparathyroidism and post-operative medical management (include hungry bone syndrome)
• What happens if preoperative localization imaging is a false positive during surgery and the strategy to bilateral neck exploration?

Learning Objectives:

understand when to consider or perform a bilateral neck exploration for primary hyperparathyroidism
understand surgical techniques and intraoperative decision making during bilateral neck exploration for parathyroid disease
understand the differences in surgical management of secondary/tertiary hyperparathyroidism