Ultrasound in Recurrent Thyroid Disease
Neck ultrasound has been shown to be critical for the postoperative evaluation of thyroid cancer patients. The thyroid bed and surrounding tissues are evaluated for the presence of recurrence or…
OTOLARYNGOLOGY
Thyroid Follicular Epithelial Cell-Derived Carcinomas: An Overview of the Pathology of Primary and Recurrent Disease
The majority of recurrent thyroid carcinomas are histologically differentiated and readily diagnosed by light microscopy or immunohistochemical staining. Infrequently, recurrent carcinoma may be less differentiated than the index lesion, creating…
Imaging of Recurrent Thyroid Cancer
Recent improvements in serum Tg assays, the availability of recombinant thyrotropin, widespread use of neck ultrasonography, and positron emission tomography (PET)/CT have caused a shift of paradigm in the detection…
Changes in Surgical Anatomy Following Thyroidectomy
Thyroid reoperation is known to carry a higher risk for complications because of the increased challenge of identifying tissue planes, presence of adherent strap muscles, and generalized scarring of the…
A Historical Perspective on Surgery of the Thyroid and Parathyroid Glands
The history of thyroid and parathyroid surgery dates back thousands of years, but the developments leading to the contemporary era began just over a century ago. Pioneers in the field include…
The Role of Vestibular Rehabilitation in the Balance Disorder Patient
The focus of this article is on the role of vestibular rehabilitation in the remediation of postural and gaze instability in individuals with peripheral vestibular deficits. Although vestibular rehabilitation does…
Alleviating Head and Neck Pain
Pain in patients who have cancer can be caused by direct effects of the tumor or by complications of treatment, or it can be unrelated to the disease or its…
Living with Head and Neck Cancer and Coping with Dying when Treatments Fail
Palliative care in patients who have head and neck cancer is a complex topic that requires a multifaceted approach. The head and neck surgeon has an important duty to fulfill…
Anosmia: Loss of Smell in the Elderly
More than 35 million people in the United States are aged 65 years or older. Of people aged more than 80 years, 62% to 80% have a significant reduction in…
Tracheostomy in Palliative Care
The use of tracheostomy in palliative care offers a viable option for airway control. Through a dialogue with the patient, family, and a multidisciplinary set of providers, this procedure can…
