• Home
  • Practice Focus
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
    • How I Do It
    • TRIO Best Practices
  • Business of Medicine
    • Health Policy
    • Legal Matters
    • Practice Management
    • Tech Talk
    • AI
  • Literature Reviews
    • Facial Plastic/Reconstructive
    • Head and Neck
    • Laryngology
    • Otology/Neurotology
    • Pediatric
    • Rhinology
    • Sleep Medicine
  • Career
    • Medical Education
    • Professional Development
    • Resident Focus
  • ENT Perspectives
    • ENT Expressions
    • Everyday Ethics
    • From TRIO
    • The Great Debate
    • Letter From the Editor
    • Rx: Wellness
    • The Voice
    • Viewpoint
  • TRIO Resources
    • Triological Society
    • The Laryngoscope
    • Laryngoscope Investigative Otolaryngology
    • TRIO Combined Sections Meetings
    • COSM
    • Related Otolaryngology Events
  • Search

Report from the Society of University Otolaryngologists

by Michael G. Stewart, MD, MPH • May 1, 2008

  • Tweet
  • Click to email a link to a friend (Opens in new window) Email
Print-Friendly Version

The researchers conclude that a sinus wash at the time of adenoidectomy for children with a high CT score led to an improved outcome compared with adenoidectomy alone, independent of oral or parenteral antibiotic management.

You Might Also Like

  • Report May Change Diagnosis, Management of Chronic Rhinosinusitis
  • Residency versus Fellowship in Otolaryngology: What is Practiced and Referred after Graduation?
  • Empathy for Patients on the Decline Among Medical Students and Residents
  • Academic Head and Neck Surgery: Educating Our Future
Explore This Issue
May 2008

(Laryngoscope 2008;118:871-3)

Efficacy of Nodal Dissection for Recurrent Papillary Thyroid Cancer

Although papillary thyroid cancer (PTC) generally has an excellent prognosis with regard to mortality, eventual recurrence in the thyroid bed or neck has been reported in up to 30% of patients. These locoregional recurrences may be associated with significant morbidity as well as long-term mortality in higher-risk patients. For patients with locoregional recurrences, both adjuvant radioiodine therapy and lymph node dissection (LND) have been advocated; however, the relative safety and efficacy of these two treatment modalities are unclear. Recent American Thyroid Association guidelines recommend surgery for bulky disease or disease that is amenable to a surgical approach, but also report that radioiodine is often used in place of surgery. Furthermore, if surgery is chosen as the treatment modality, the optimal extent of surgical dissection remains undefined. Kathryn G. Schuff, MD, and associates report on a retrospective analysis of the safety and efficacy of surgical management of persistent/recurrent PTC in a group of patients who underwent selective central or lateral LND by one surgeon, who used a systematic approach to treatment planning.

The study population included all patients with persistent/recurrent PTC who underwent central compartment or cervical LND during a 26-month period. Seventy-five patients met the inclusion criteria; a total of 79 resections were performed on these 75 patients. All patients had previously undergone total thyroidectomy, and most had also received radioiodine ablation. Previous LND had been performed in 57 patients, although the extent of the dissections varied widely. Of the 79 dissections, all were included in the safety analysis, and 41 met the criteria for efficacy analysis.

Nodal involvement with PTC in the central or lateral compartments was found in 91% of the resections. There were 25 minor complications among the 79 resections, and seven major complications, including permanent hypoparathyroidism, significant abscess, and pulmonary embolism after deep venous thrombosis. Neither prior nodal dissection, extent of nodal dissection, nor extent of disease were predictive of surgical complications.

The authors used a systematic, individualized approach to LND based on initial tumor site, prior surgical therapy, known pathways of nodal spread, and higher efficacy of formal nodal dissection over berry picking. This approach led to a cure rate of 41% of classifiable resections, using the criterion of postoperative stimulated thyroglobulin (Tg) of 2 ng/dL or less. In addition, 72% of resections had either cure or postoperative reductions of more than 50% in Tg levels, the primary serum marker of well-differentiated thyroid cancer persistence/recurrence.

Pages: 1 2 3 4 5 6 | Single Page

Filed Under: Career Development, Departments, Head and Neck, Medical Education, Practice Focus, Resident Focus, Rhinology Tagged With: cancer, career, CT, leadership, medical errors, outcomes, patient communication, patient safety, research, residents, rhinosinusitis, societies, surgery, thyroid cancerIssue: May 2008

You Might Also Like:

  • Report May Change Diagnosis, Management of Chronic Rhinosinusitis
  • Residency versus Fellowship in Otolaryngology: What is Practiced and Referred after Graduation?
  • Empathy for Patients on the Decline Among Medical Students and Residents
  • Academic Head and Neck Surgery: Educating Our Future

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

The Triological SocietyENTtoday is a publication of The Triological Society.

Polls

Have you invented or patented something that betters the field of otolaryngology?

View Results

Loading ... Loading ...
  • Polls Archive

Top Articles for Residents

  • Applications Open for Resident Members of ENTtoday Edit Board
  • How To Provide Helpful Feedback To Residents
  • Call for Resident Bowl Questions
  • New Standardized Otolaryngology Curriculum Launching July 1 Should Be Valuable Resource For Physicians Around The World
  • Do Training Programs Give Otolaryngology Residents the Necessary Tools to Do Productive Research?
  • Popular this Week
  • Most Popular
  • Most Recent
    • Otolaryngologists as Entrepreneurs: Transforming Patient Care And Practice

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Physician Handwriting: A Potentially Powerful Healing Tool

    • Continued Discussion And Engagement Are Essential To How Otolaryngologists Are Championing DEI Initiatives In Medicine

    • The Dramatic Rise in Tongue Tie and Lip Tie Treatment

    • Rating Laryngopharyngeal Reflux Severity: How Do Two Common Instruments Compare?

    • Is Middle Ear Pressure Affected by Continuous Positive Airway Pressure Use?

    • Otolaryngologists Are Still Debating the Effectiveness of Tongue Tie Treatment

    • Complications for When Physicians Change a Maiden Name

    • Physician Handwriting: A Potentially Powerful Healing Tool
    • Leaky Pipes—Time to Focus on Our Foundations
    • You Are Among Friends: The Value Of Being In A Group
    • How To: Full Endoscopic Procedures of Total Parotidectomy
    • How To: Does Intralesional Steroid Injection Effectively Mitigate Vocal Fold Scarring in a Rabbit Model?

Follow Us

  • Contact Us
  • About Us
  • Advertise
  • The Triological Society
  • The Laryngoscope
  • Laryngoscope Investigative Otolaryngology
  • Privacy Policy
  • Terms of Use
  • Cookies

Wiley

Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1559-4939