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 […]
Extracapsular Dissection a Valid Option for Benign Parotid Tumors
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 […]
Tonsillectomy Locates High Percentage of Primary Occult Head and Neck Cancers
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.
MFH: An Aggressive Cancer Rarely Seen in Head and Neck
Malignant fibrous histiocytoma (MFH) is the most common soft tissue sarcoma.