Otolaryngology–Head and Neck Surgery
Intraoperative PTH Monitoring in Primary Hyperparathyroidism: A Risk‐Stratified Approach
Abstract Objective To evaluate whether routine intraoperative parathyroid hormone (ioPTH) monitoring is necessary in all cases of sporadic primary hyperparathyroidism (pHPT) in the era of advanced preoperative localization and to propose a conservative, risk‐stratified operative framework. Data Sources PubMed, Scopus, and Embase were searched for English‐language publications from January 2020 through January 2026, supplemented by key guidelines, consensus statements, and high‐impact reviews. Review Methods This na …