Does vascularized bone reconstruction provide optimum reconstruction among patients with bisphosphonate-related osteonecrosis of the jaw (BRONJ)? Background: Bisphosphonates, a commonly prescribed class of medications used in the treatment of multiple myeloma and metabolic and metastatic bone disease, decrease bone resorption via inhibition of enzyme activity within osteoclasts. Remaining in the bone for several years, bisphosphonates can […]
Literature Reviews » Head and Neck
Does robotic surgery provide better access to the infratemporal fossa (ITF), and is suprahyoid port placement an option? Background: Recent experimentation with robotic-assisted surgery has shown applications in head and neck surgery and advantages such as excellent three-dimensional microscopic visualization and two-handed, tremor-free operating. These advantages make robotic surgery particularly attractive in areas in which open […]
Can localized papillary thyroid cancer (PTC) forgo surgery and be observed? Background: Recent epidemiologic trends have documented a dramatic increase in the incidence of PTC, much of it due to the overdiagnosis of subclinical PTC. In 2006, the authors published a landmark study demonstrating this increase and raised the question of whether the definition or treatment […]
Is elective neck dissection the optimal management of the node-negative (N0) neck during salvage surgery after initial treatment with elective nodal irradiation (ENI)? Background: When the neck is seeded at the time of squamous cell carcinoma recurrence, there is a likelihood of occult regional metastatic disease. While it is common practice to include an elective neck […]
Does the osteocutaneous radial forearm free flap (OCRFFF) provide equivalent functional outcomes and improved morbidity compared to the fibular free flap (FFF) in mandibular reconstruction? Background: Although widely used due to length and quality of bone, FFF routinely results in up to three months of antalgic gait and can cripple the elderly population. Recently there has […]
Is extracapsular dissection a better option for benign parotid tumors? Background: While a superficial or total parotidectomy is considered the gold standard surgical intervention for benign parotid tumors, the surgery risks intraoperative damage to the facial nerve. In fact, the rate of temporary paresis of the facial nerve is 15 to 25 percent after superficial […]
Otolaryngologists-head and neck surgeons have suggested that performing tonsillectomy among patients who present with neck metastases from an occult primary tumor can identify a high percentage of primary tumors-an even better success rate in locating the malignancies than can be obtained with deep tonsil biopsy.