The 2009 American Thyroid Association guidelines suggest that prophylactic central neck dissection can be used in patients with clinically staged 3/4 PTC disease, but surgeon’s comfort level with procedure, related risks, should be considered
TRIO Best Practices » Head and Neck
Video head impulse testing, vestibular evoked myogenic potential testing improve ability to probe end organ function, identify vestibular dysfunction
Both radio-guided parathyroidectomy and bilateral neck exploration can be implemented
Best practices support active role for speech language pathologists for head and neck cancer patients at point of diagnosis
The optimal treatment involves complete surgical resection, with endoscopic techniques used most often for lower-stage tumors and open techniques in advanced cases
Evidence exists for employing both selective neck dissection and modified radical neck dissection in this setting
Voice outcomes are similar whether patients are treated with endoscopic surgical resection or radiation therapy (XRT).
Can lateral neck dissection be withheld if imaging of the lateral neck is negative and there are positive central lymph nodes?