What is the incidence of pharyngocutaneous fistula associated with transoral robotic oropharyngectomy with concurrent neck dissection, and how can pharyngocutaneous fistula be prevented and treated? Background: Transoral resection is emerging as […]
Experience with Robotic Thyroid Surgery in North American Patients
What is the feasibility of robotic thyroid surgery in North American patients? Background: Less invasive thyroid surgery approaches, such as video-assisted thyroidectomy, may be technically difficult and still result in a […]
Goiter Size Associated with Increasing Symptoms
In the preoperative evaluation of goiter, is there a correlation between goiter size and symptoms, between preoperative neck imaging abnormalities and symptoms and predictors for goiter recurrence? Background: Substernal goiter affects […]
Cost Analysis of Transoral Surgery versus XRT for Early-Stage Glottic Cancer
Which treatment for Tis/T1 glottic carcinoma among adult patients, transoral CO2 laser excision (TOL) or external beam radiation (XRT), is superior in terms of cost utility? Background: Cancer of the larynx […]
Surgery May Be Unnecessary for Some Small Thyroid Cancers
What are the trigger events that lead to detection of otherwise asymptomatic thyroid cancers? Background: The incidence of thyroid cancer has more than doubled in the past 30 years, but mortality […]
Mandible Vascularized Bone Graft Reconstruction Successful in BRONJ
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 […]
Robotic Surgery Offers Advantages for Infratemporal Fossa
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 […]
Clarity Needed on Which Patients with PTC Can Be Safely Observed
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 […]
Caution Regarding Elective Neck Dissection During Salvage Surgery
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 […]
Fibula and Osteocutaneous Radial Forearm Free Flap Are Comparable
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 […]