Maximizing Results and Minimizing Complications during FESS

Abstract

identify sites of regional disease as a means of staging the patient and planning surgical treatment will be illustrated through examples of ultrasound and anatomic imaging (CT and MRI). The utility of metabolic imaging (PET-CT) for patients with noniodine avid metastasis will be reviewed. The role of ultrasound-guided fine needle aspiration to confirm the presence of metastasis in patients with positive imaging studies will be discussed as well. The surgical management will cover the spectrum of clinical situations frequently encountered including central compartment dissection at the time of initial thyroid surgery, mediastinal lymph node dissection, central compartment reoperation with emphasis on parathyroid and recurrent laryngeal nerve preservation, and comprehensive lateral neck dissection. Videoclips of regional dissections will complement the didactic lectures and highlight surgical techniques. Postoperative surveillance will be discussed with an emphasis on thyroglobulin monitoring, radioiodine imaging, ultrasound, and anatomic imaging. Following the panelists' presentations, time will be allotted for audience interaction and illustrative case presentations.