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Practice Focus » TRIO Best Practices » Head and Neck

Can Electrocautery Replace the Scalpel for Surgical Skin Incision?

September 30, 2022

Surgical incision using electrocautery can be quicker, with less blood loss and better postoperative pain scores.

TRIO Best Practice

What Are the Parameters as to When to Re-Operate on Patients with Recurrent Well-Differentiated Thyroid Cancer?

July 13, 2022

Despite the increased morbidity and risks associated with revision surgery, select patients benefit from re-operation in the setting of recurrent well-differentiated thyroid cancer.

What Role Does Thyroglobulin Washout Have in Follow-Up Algorithm of Differentiated Thyroid Cancer?

April 19, 2022

The literature supports the use of thyroglobylin washout as an adjunct to fine-needle aspiration cytology (FNAC) as it improves diagnostic accuracy.

Should Neck Dissection Be Done after Positive Sentinel Node Biopsy for Head and Neck Melanoma?

April 19, 2022

Observation following a positive sentinel lymph node biopsy (SLNB) for head and neck cutaneous melanoma (HNCM) is likely a reasonable approach to offer patients, as survival is unchanged in prospective clinical trials.

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Blue, Green, or Radioisotope: Which Modality Is Best for Head and Neck Melanoma SLN Identification?

February 16, 2022

Identification of sentinel lymph nodes (SLNs) in head and neck melanoma can be particularly challenging, due in part to the unpredictable and diffuse lymphatic drainage of the head and neck.

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Is a Tooth Extraction Required if Dentition Lies Within a Mandible Fracture?

January 14, 2022

There is no conclusive evidence that extraction is required when a healthy tooth is present within the fracture line.

Is Radiation, Sentinel Lymph Node Biopsy, or Neck Dissection Beneficial for the Node Negative Neck in Merkel Cell Carcinoma?

November 18, 2021

The studies presented demonstrate that sentinel lymph node biopsy with lymphoscintigraphy is an important technique in the management of clinical merkel cell carcinoma.

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Margin Recommendations for Cutaneous Malignancies in Immunocompetent and Immunocompromised Patients

October 19, 2021

For low-risk cSCC, 4 to 6 mm margins are recommended, whereas for low-risk BCC, the recommendation is for 4 mm margins.

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Should Exogenous Estrogens Be Stopped for Surgery in Transgender Women?

September 15, 2021

The practice of discontinuing estrogen therapy for two weeks prior to surgery should be weighed against individual risk factors, mode of administration, and side effects.

What Is the Role of Transoral Thyroidectomy?

March 16, 2021

Transoral thyroidectomy can be safely performed in a select group of patients. Here are its unique advantages and guidance on when it should be used.

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