OTOLARYNGOLOGY

Office-Based Procedures

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Office-Based Procedures

Introduction The breadth of office-based procedures continues to expand within the field of otolaryngology. Office-based procedures allow for prompt, low-cost diagnosis and management of many otolaryngological conditions. Fine needle aspiration…

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Surgical Management of Ranula

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Surgical Management of Ranula

Introduction A ranula is an extravasation mucocele that arises in the floor of mouth secondary to trauma to the sublingual gland or obstruction of the salivary ducts. The term ranula…

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Parathyroidectomy for Secondary Hyperparathyroidism

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Parathyroidectomy for Secondary Hyperparathyroidism

Introduction Secondary hyperparathyroidism (SHPT) is a consequence of the decreased concentration of ionized calcium in the blood, which may have many causes. SHPT is characterized by increased compensatory parathyroid hormone…

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Reoperative Parathyroidectomy

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Reoperative Parathyroidectomy

Introduction Parathyroidectomy for primary hyperparathyroidism has a success rate of 90% to 95% among experienced surgeons. However, management of persistent hyperparathyroidism following surgery can be challenging. Careful preoperative analysis of…

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Robotic-Assisted Thyroidectomy

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Robotic-Assisted Thyroidectomy

Introduction Open thyroidectomy incorporated a midline skin crease was first popularized by Kocher in 1906; since that time it has remained the standard surgical technique for thyroidectomy. This approach provides…

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Invasive Thyroid Cancer

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Invasive Thyroid Cancer

Introduction Thyroid cancer is a curable disease with increasing incidence and treatment strategies. This corresponds with the widespread use of screening modalities and improved health care availability. With more cases…

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Deep Neck Abscesses

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Deep Neck Abscesses

Introduction The potential for a seemingly benign entity like an infected tooth, tonsil, or skin lesion to cause life-threatening illness is due to the complex relationship between the spaces of…

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Massive and Substernal Goiter

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Massive and Substernal Goiter

Introduction Prior to the 20th century, thyroid surgery was associated with a high operative mortality rate. The meticulous surgical technique advanced by Kocher in the late 1890s transformed thyroidectomy into…

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Intraoperative Parathyroid Hormone Monitoring

Apr 3, 2019 by in OTOLARYNGOLOGY Comments Off on Intraoperative Parathyroid Hormone Monitoring

Introduction Parathyroid hormone (PTH) is secreted from the parathyroid glands and is primarily responsible for calcium homeostasis. The mechanism by which this occurs is through renal tubular reabsorption, bone resorption,…

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