Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2026 - Head and Neck
47 snips
Dec 2, 2025 Dive deep into the intricacies of head and neck anatomy, from thoracic outlet structures to the nuances of neck triangles. Uncover the vital roles of the recurrent laryngeal nerve and unique salivary gland malignancies. Explore the management strategies for squamous cell cancers, emphasizing the differences between early and advanced stages. Learn about the challenges of finding unknown primaries with nodal metastasis and the critical approaches in melanoma treatment. Plus, insights on complications like Frey's syndrome and tracheostomy management make this a must-listen for future surgeons!
AI Snips
Chapters
Books
Transcript
Episode notes
Warthin Tumor Pattern
- Warthin tumor (papillary cystadenoma lymphomatosum) appears in older male smokers and can be bilateral.
- The recommended approach is often watchful waiting rather than resection.
Workup For Unknown Primary Node
- For an unknown primary presenting with nodal metastasis, perform a focused head and neck exam, FNA/biopsy, and imaging (CT ± PET).
- Proceed to OR for direct laryngoscopy, esophagoscopy, and ipsilateral tonsillectomy with directed biopsies.
Occult Primary: Neck Dissection Plus Bilateral XRT
- If the primary remains occult after workup, perform ipsilateral modified radical neck dissection and give bilateral radiation.
- This prevents untreated contralateral microscopic disease despite no identified primary.
