Purpose / Aim

To illustrate the decision-making process and surgical techniques in managing locally advanced poorly differentiated thyroid cancer, including an organ-preserving strategy followed by salvage laryngectomy in the setting of radiation-induced laryngeal necrosis.

Background

I am a high-volume thyroid surgeon with dedicated experience in managing aggressive thyroid cancers. In this presentation, I will discuss a patient with locally advanced poorly differentiated thyroid carcinoma who underwent larynx-preserving resection followed by adjuvant radiotherapy. Three months postoperatively, the patient developed radiation-induced laryngeal necrosis that failed conservative management. Salvage total laryngectomy and tracheal resection with free-flap reconstruction were subsequently performed.

Description

Through operative video footage and perioperative documentation, ı will highlight:

- Selection criteria for larynx-preserving surgery in locally advanced thyroid cancer
- Oncologic and functional considerations
- Management of post-radiation complications including laryngeal necrosis
- Techniques and outcomes of salvage laryngectomy and tracheal resection with free-tissue reconstruction

Description

This presentation will focus on the surgical management of patients with non-localizing or discordant-imaging parathyroid adenomas, one of the most challenging scenarios in endocrine surgery. Using operative video and case examples, the session will demonstrate practical strategies for successful exploration when preoperative localization studies such as ultrasound, sestamibi, or 4D-CT are inconclusive or discordant. Emphasis will be placed on systematic bilateral neck exploration, recognition of anatomic variants, intraoperative PTH monitoring, and identification of ectopic glands, including mediastinal and intrathyroidal locations. Decision-making algorithms and intraoperative navigation techniques will also be discussed.

Outcome Objectives

By the end of this session, participants will be able to:

1. Plan and execute surgery for parathyroid adenomas with non-concordant imaging findings.
2. Apply safe and systematic bilateral neck exploration techniques.
3. Utilize intraoperative PTH monitoring to confirm surgical success.
4. Identify and manage ectopic and difficult parathyroid lesions effectively.

Background

While most parathyroid adenomas can be accurately localized preoperatively, a subset of patients present with discordant or negative imaging results. These cases require advanced surgical expertise and meticulous exploration to achieve cure. Sharing real operative experience provides valuable insights into intraoperative decision-making and problem-solving in complex parathyroid surgery.

Description

This presentation focuses on the surgical management of frontoethmoid sinus osteomas, emphasizing endoscopic and combined approaches for safe and effective tumor removal. Using operative video and case examples, the session will demonstrate patient selection, preoperative imaging assessment, surgical planning, and intraoperative techniques for tumor excision while preserving surrounding structures. Endoscopic removal strategies, management of large or complex osteomas, prevention of orbital or skull base complications, and reconstruction when necessary will be highlighted. Postoperative care, including imaging follow-up and symptom monitoring, will also be discussed.

Outcome Objectives

By the end of this session, participants will be able to:

1. Identify indications for endoscopic versus open or combined approaches for frontoethmoid osteomas.
2. Safely perform endoscopic excision while preserving orbital and skull base structures.
3. Manage complex or large osteomas with stepwise intraoperative planning.
4. Implement postoperative follow-up strategies to monitor for recurrence or complications.

Background

Frontoethmoid osteomas are benign but may cause obstruction, recurrent sinusitis, or orbital complications. Endoscopic surgical techniques provide minimally invasive access with lower morbidity compared to open procedures. Sharing operative video experience provides practical guidance on patient selection, surgical technique, and postoperative management.

Title: Contemporary Surgical Management of Odontogenic Cysts: A Video-Based Clinical Experience

Description

Odontogenic cysts represent a significant clinical entity encountered in the head and neck region, frequently requiring surgical management. My video presentation will demonstrate key surgical principles, approaches, and intraoperative techniques in the management of odontogenic cysts treated . More than 30 consecutive cases operated over a clinical period will be highlighted with emphasis on surgical safety, pathology confirmation, recurrence prevention, and preservation of vital structures. Step-by-step operative footage and narrated explanations will guide viewers through decision-making and execution of marsupialization, enucleation, and combined approaches.

Outcome Objectives

At the conclusion of this presentation, participants will be able to:

1. Recognize common clinical presentations and radiologic findings of odontogenic cysts.
2. Evaluate indications for different surgical strategies including enucleation vs. marsupialization.
3. Understand perioperative considerations and complications, including nerve protection and especially sinus management.

Background

Although odontogenic cysts are primarily odontogenic in origin, otolaryngologists frequently encounter them due to their proximity to sinonasal and maxillofacial structures. Advances in endoscopic assistance, bone preservation, and postoperative follow-up strategies allow improved outcomes. Sharing cumulative clinical experience through real surgical footage aims to enhance understanding and refinement of best practices among head and neck surgeons.