ENTtoday
  • Home
  • Practice Focus
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Departments
    • Issue Archive
    • TRIO Best Practices
      • Allergy
      • Facial Plastic/Reconstructive
      • Head and Neck
      • Laryngology
      • Otology/Neurotology
      • Pediatric
      • Rhinology
      • Sleep Medicine
    • Career Development
    • Case of the Month
    • Everyday Ethics
    • Health Policy
    • Legal Matters
    • Letter From the Editor
    • Medical Education
    • Online Exclusives
    • Practice Management
    • Resident Focus
    • Rx: Wellness
    • Special Reports
    • Tech Talk
    • Viewpoint
    • What’s Your O.R. Playlist?
  • Literature Reviews
    • Allergy
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Multimedia
    • Video
    • Audio
  • Events
    • Featured Events
    • TRIO Meetings
  • Contact Us
    • About Us
    • Editorial Board
    • Triological Society
    • Advertising Staff
    • Subscribe
  • Advertise
    • Place an Ad
    • Classifieds
    • Rate Card
  • Search

SM14: Treatment for Thyroid Tumors and Benefits of Hearing Devices Spark Debate Among Otolaryngologists

by Thomas R. Collins • February 5, 2014

  • Tweet
  • Email
Print-Friendly Version

Technology is evolving and, eventually, otolaryngologists might be able to determine which tumors require immediate surgery. “Until that day comes and until we have more concrete evidence…. it’s incumbent upon the surgeon to treat this disease accordingly,” said Dr. Tufano.

You Might Also Like

  • SM14: The Great Debate – Point/Counterpoint
  • SM12: Otolaryngologists Debate Resident Training, Implantable Hearing Aids, Oropharyngeal Cancer
  • SM14: Advances in Otolaryngology Improve Surgical Techniques, Treatment of Common Disorders
  • SM14: Cases of Aggressive Skin Carcinoma Raise Treatment, Management Questions for Otolaryngologists
Explore This Issue
February 2014

Dr. Shaha said that a plan developed through meetings between the surgeon, endocrinologist, and the patient is crucial, so that patients are not lost to follow-up. “The more operations that we do, the more complications we are going to cause, more anxiety,” he said. “What we need is an understanding between the surgeon, the endocrinologist, and the patient himself, that we have a strategy. The problems come when there’s a dichotomy of opinion between the surgeon and the endocrinologist. And the endocrinologist says, ‘Yes, they have cancer, go in and have surgery.’ The surgeon doesn’t want to operate. And what does the endocrinologist do? Send the patient somewhere else…. Let the treatment not be worse than the disease.”

BAHA v. Unilateral Devices

In another “debate” during the session, Jack Wazen, MD, director of research for the Ear Research Foundation at the Silverstein Institute in Sarasota, Fla., discussed bone-anchored hearing devices, and Daniel Coelho, MD, assistant professor of otology, neurotology, and skull base surgery at Virginia Commonwealth University in Richmond, talked about unilateral cochlear implants.

Dr. Wazen said that research has shown that the newer, single-incision approach for implant bone-anchored hearing aids (BAHA) is a safer approach. “We’ve confirmed that the single incision has statistically significantly less risk of complications than the dermatome or the other earlier procedures,” he added.

With the DermaLock system, the abutment is covered with hydroxyapatite, with the intention of soft tissue adhering to it and creating a better seal, making for less soft-tissue inflammation and fewer complications. This is now FDA-approved, and the procedure takes approximately 10 minutes. Other systems are the Sophono, without a skin-penetrating abutment; the SoundBite Hearing System, which uses a wireless microphone behind the ear and a device that transmits through the teeth; and the Attract System, which has a magnetic system and no skin-penetrating abutment.

Dr. Coelho described the benefits of unilateral cochlear implants, which are not yet FDA-approved. Since they don’t have to route sound through the normal-hearing ear, they give patients two sides with hearing, rather than just one. The benefits of bilateral hearing, he said, are well borne out in studies, with better ear-specific hearing results when compared with BAHA and contralateral routing of offside signals devices, particularly with respect to sound localization and hearing amid noise.

Pages: 1 2 3 | Single Page

Filed Under: Features, Head and Neck, Otology/Neurotology, Practice Focus Tagged With: BAHA, cochlear implants, Combined Sections Meeting 2014, CSM14, Hearing aids, hearing devices, hearing loss, otolaryngologist, thyroid cancer, thyroid tumor, treatment, Triological SocietyIssue: February 2014

You Might Also Like:

  • SM14: The Great Debate – Point/Counterpoint
  • SM12: Otolaryngologists Debate Resident Training, Implantable Hearing Aids, Oropharyngeal Cancer
  • SM14: Advances in Otolaryngology Improve Surgical Techniques, Treatment of Common Disorders
  • SM14: Cases of Aggressive Skin Carcinoma Raise Treatment, Management Questions for Otolaryngologists

The Triological SocietyENTtoday is a publication of The Triological Society.

The Laryngoscope
Ensure you have all the latest research at your fingertips; Subscribe to The Laryngoscope today!

Laryngoscope Investigative Otolaryngology
Open access journal in otolaryngology – head and neck surgery is currently accepting submissions.

Classifieds

View the classified ads »

TRIO Best Practices

View the TRIO Best Practices »

Top Articles for Residents

  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Why More MDs, Medical Residents Are Choosing to Pursue Additional Academic Degrees
  • What Physicians Need to Know about Investing Before Hiring a Financial Advisor
  • Tips to Help You Regain Your Sense of Self
  • Should USMLE Step 1 Change from Numeric Score to Pass/Fail?
  • Popular this Week
  • Most Popular
  • Most Recent
    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment
    • Vertigo in the Elderly: What Does It Mean?
    • Experts Delve into Treatment Options for Laryngopharyngeal Reflux
    • Is There a Crisis in the Otolaryngology Match?
    • New Developments in the Management of Eustachian Tube Dysfunction
    • New Developments in the Management of Eustachian Tube Dysfunction
    • Vertigo in the Elderly: What Does It Mean?
    • Eustachian Tuboplasty: A Potential New Option for Chronic Tube Dysfunction and Patulous Disease
    • Some Laryngopharyngeal Reflux Resists PPI Treatment
    • Post-Tonsillectomy Taste Disorders Rare but Present
    • 10 Novel Ways to Disseminate Scientific Information
    • How to Work with Sales and Marketing Representatives in Your Medical Practice
    • How Medicine Helped Surgeon Prepare for Career as Writer
    • Best Practices for Emergency Surgical Airway
    • Spare Roof Technique Can Improve Patient Quality of Life after Rhinoplasty

Polls

Will registry information and data science improve patient care?

View Results

Loading ... Loading ...
  • Polls Archive
  • Home
  • Contact Us
  • Advertise
  • Privacy Policy
  • Terms of Use

Visit: The Triological Society • The Laryngoscope • Laryngoscope Investigative Otolaryngology

Wiley
© 2019 The Triological Society. All Rights Reserved.
ISSN 1559-4939

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.
This site uses cookies: Find out more.