By Greg Hartig, MD Oropharyngeal squamous cell carcinoma (OPSCC) secondary to high-risk human papilloma virus (HPV) infection is on the rise. This malignancy caused by remote high-risk HPVinfection, usually HPV-16, has changed the way we think about head …
Education
Evolving Trends in Surgery of the Soft Palate for Obstructive Sleep Apnea
By David Upton, MD Obstructive sleep apnea (OSA) is an increasingly common disease affecting 2-4% of middle aged adults in the United States. Left untreated, it contributes to impaired cognition, hypertension, cardiovascular disease, and stroke.1 While positive …
Basal Joint Arthritis: Evaluation, Treatment, and Postop Expectations
Review the clinical presentation of basal joint arthritis, conservative management strategies, when surgery is indicated, and what patients can expect after surgery. The basal (carpometacarpal) joint is the second most common location for osteoarthritis in …
Evaluation of Head and Neck Masses
Understanding the basic evaluation of the neck mass is essential in determining when a mass is insignificant or significant, and potentially malignant. Beginning with an understanding of neck anatomy, a thorough history and physical exam, …
Gastrointestinal Neuroendocrine Tumors
Insulinoma Insulinomas are the most common type of NET. They occur more commonly in females in the fifth or sixth decade. These tumors secrete insulin or less commonly proinsulin which lead to the clinical syndrome of …
Surgery for Migraine Headaches
Can migraines be treated surgically? From a serendipitous finding come new surgical decompression techniques that provide relief for select patients with this often-debilitating condition. Background Surgery for migraine headaches was first discovered by Cleveland plastic …
Thyroid FNA: Management of the FLUS
By Dr. Aaron Wieland Evidence-based medicine has led to the development of a multitude of clinical practice guidelines and treatment pathways that seek to standardize the care for many disorders. An example of a common clinical …
An Innovative Interdisciplinary Approach to Establishing a Surgical Skills Curriculum
Mara Snyder, General Surgery Residency Program Manager, shares an update on our pilot of a collaborative surgical skills curriculum Surgical resident hour limitations have necessitated operative skill training outside of the OR. Low-cost box trainers …
Management of Biliary Dyskinesia
Biliary dyskinesia is an enigmatic but important condition to consider in the evaluation of patients with right upper quadrant pain. A thorough history, work-up and examination are needed, as this diagnosis is primarily a diagnosis …
The Surgical Intern: An Inside Look
Written by Sarah Tevis, MD, who completed her general surgery residency with us. During my third-year of medical school I had just begun a surgery rotation when my senior resident handed me a patient chart …