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…
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…
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,…
Introduction The otolaryngologist is often involved in surgery to provide access to the cervical spine. This is usually for the treatment of cervical spondylosis by the orthopedic or neurologic surgeon….
Introduction Thyroid nodules are a common clinical problem, diagnosed by palpation on clinical examination in approximately 5% of women and 1% of men in Western society. Their presence requires evaluation…
Introduction Although thyroid disease has been recognized for centuries, consistently accepted techniques of thyroid surgery date back approximately 100 years. With a combined mortality of 40% from hemorrhage and sepsis,…
Introduction To safely resect neural tumors of the parapharyngeal space (PPS) and to counsel patients about potential consequences and complications of surgery requires that the surgeon has a detailed knowledge…
Introduction Patients with evidence of vascular or soft tissue trauma must be approached in a similar fashion as all trauma patients. Primary and secondary surveys initially screen for any imminently…
Introduction Traditional approaches for surgery of the neck involve a relatively long incision that is usually through a transverse skin crease. The length of the incision varies and depends on…
Introduction Most of the tumors that originate in the poststyloid parapharyngeal space (PPS) are tumors of neural origin. Most of these are paragangliomas (PGLs), the most common of which is…
Introduction The management of a patient with a tumor of the parapharyngeal space (PPS) is a challenging task. The complex nature of the anatomy of the PPS and the diversity…