What is the best surgical treatment for papillary thyroid microcarcinoma (PTMC)? Background: Surgeons have debated whether to perform a total or hemithyroidectomy for PTMC, a carcinoma less than 1 cm in size. Historically, treatment was a total thyroidectomy, but the paradigm has shifted with recent guidelines from the American and British Thyroid Associations. Study design: Retrospective chart […]
Best Practice in Tympanoplasty
Does concomitant mastoidectomy improve outcomes for patients undergoing repair of tympanic membrane perforations? Background: Controversy currently exists regarding the appropriate treatment of tympanic membrane perforations resulting from chronic suppurative otitis media (CSOM) without cholesteatoma. Proponents for mastoidectomy contend that surgical opening of the mastoid pneumatic system buffers pressure changes in the middle ear and allows for […]