Updated Guidelines for Management of Thyroid Disease in Adults

Thyroidectomy is a commonly performed surgical procedure for the partial/complete removal of the thyroid gland. According to the United states data, over 100,000 thyroid operations are performed annually in the US alone. In order to have a uniform and evidence-based treatment for the management of thyroid disease, various guidelines are published by different surgical associations.

Important Triangles in Thyroid Surgery

Thyroidectomy is a surgical procedure involving removal of the thyroid glands. The procedure can be a hemi-thyroidectomy (partial removal) or can be a total thyroidectomy. The most important thing about thyroidectomy is the meticulous dissection needed for preserving the two nerves and bilateral parathyroid glands. These two nerves are the Recurrent laryngeal nerve (RLN) and

TNM Staging of Salivary Gland Cancers

Once a person is diagnosed with cancer, the next step before deciding on treatment options is a determination of the stage of the cancer. Staging of salivary gland cancers is an important step in evaluating prognosis and treatment options.  It helps determining how much is the cancer volume in the body, how serious the cancer

Classification of Neck Dissection

Neck dissection (ND) is a complex surgical operation involving the removal of potential or proven metastases to cervical lymph nodes. The aim of the procedure is to remove lymph nodes from one side of the neck into which cancer cells may have migrated. Prior to reading about the classification of neck dissections, knowledge about the

Clinical Practice Guideline on Management of Nose Bleed (Epistaxis)

Nose bleed or Epistaxis is a common clinical condition that occurs at some point in at least 60% of people in the United States. While the majority of nosebleeds are limited in severity and duration, about 6% of people need medical attention for control of nose bleed. Overall 0.5% of all emergency department visits and

Inverted Papilloma – Clinical features, Diagnosis and Treatment

Inverted papilloma is a rare, benign but locally aggressive neoplasm that arises in the Schneiderian epithelium which lines the nasal cavity and paranasal sinuses. It is also known as Ringertz tumor, Schneiderian papilloma, Cylindroma and Benign papilloma of the nasal cavity. Inverted papilloma is the second most common benign tumor of the nose, after ossifying

Middle Ear Hearing Implants – An Overview

Middle ear hearing implants belongs to the group of Implantable Acoustics or Mechanical hearing devices which are used in rehabilitative management of patients with hearing loss, offering an alternative to conventional hearing aids. The first clinically available Middle ear hearing implant was designed by Drs. Suzuki and Yanagihara in Japan for patients with irreversible middle

Radiotherapy is better than TORS for Oropharyngeal Cancers – ORATOR Says

The mainstay of treatment for oropharyngeal squamous cell carcinoma is chemoradiotherapy. The separation of oropharyngeal cancers into Human papillomavirus (HPV) positive and negative based on the etiology has shown that HPV positive cancers have a better prognosis and survival compared to HPV negative cancers. These young age HPV positive patients with prolonged survival are more

Role of Surgery in the Treatment of Oropharyngeal Cancers

Prior to 1990, the mainstay of treatment for oropharyngeal cancers were surgeries. These large, invasive, open approaches like mandibulotomy, tongue pull through (described below), etc were associated with severe compromise in postoperative speech, swallow and airway function of the patient due to violation of pharyngeal mucosa. In addition, surgical management did not avoid the need

Subglottic Stenosis – Clinical Features and Treatment

Subglottic stenosis is a clinical condition occurring due to the narrowing of the subglottic lumen of the larynx (voice box) at the region of the cricoid cartilage. Based on the pathology, age at clinical presentation and the features, subglottic stenosis is of three types; congenital, acquired and idiopathic. Subglottic stenosis is considered to be congenital