Difficult Decisions in Head and Neck Oncologic Surgery

1. Evidenced based-medicine.- 2. Decision analytic techniques.- 3. Decision making from a physician perspective.- 4. Decision making from a patient perspective.- 5. Elective versus therapeutic neck dissection for clinically node negative oral cavity cancer.- 6. Management of moderate dysplasia of the oral cavity.- 7. Ideal resection margins in oral cavity cancer.- 8. Should margin sampling be obtained from the specimen or from the resection bed?.- 9. Should level IIb undergo routine dissection in clinical node negative oral cavity cancer.- 10. Sentinel node biopsy or elective neck dissection for clinical node negative oral cavity cancer.- 11. Surgical or non-surgical treatment for advanced oral cavity cancer.- 12. Management of early T-stage oropharyngeal cancer.- 13. Surgical management versus chemoradiation for unknown primary tumor.- 14. Should treatment deintensification be routine for HPV associated oropharyngeal cancer.- 15. Early oral feeding following primary total laryngectomy.- 16. Up-front surgery or organ preservation for advanced laryngeal cancer.- 17. What is the best treatment paradigm for advanced larynx cancer with oligometastatic disease?.- 18. Surgery or radiation therapy for early stage glottic cancer.- 19. Should thyroid cancer with distant metastatic disease be treated with curative or palliative intent.- 20. What is the optimal management of papillary thyroid microcarcinoma?.- 21. Should routine central neck dissection be performed for thyroid carcinoma?.- 22. When should one operate on anaplastic thyroid cancer?.- 23. Should pre-operative embolization be utilized routinely for carotid body tumors prior to surgical resection?.- 24. Vagal paraganglioma and schwannoma-&nbsp; surgical or non surgical management?.- 25. Parotid malignancy with facial paresis- should the facial nerve be sacrificed?.- 26. Adjuvant management of advanced high grade parotid malignancy.- 27. Is parotidectomy indicated in cutaneous exteral auditory canal cutaneous skin cancer?.- 28. What is the ideal resection margin in head and neck Merkel cell carcinoma.- 29. Basosquamous cutaneous cancer- should routine neck dissection be offered?.- 30. Is routine anti-coagulation warranted following free flap reconstruction?.- 31. Does two venous anastamosis lead to better outcomes in free flap reconstruction.- 32. Reconstruction for early tongue cancer.- 33. Should reconstruction be staged with cutaneous melanoma of the head and neck?.- 34. Prophylactic versus reactive gastrostomy tube placement for advanced head and neck cancer.- 35. Is routine physical therapy warranted following neck dissection.- 36. What is the best time interval for obtaining surveillance imaging following non-surgical treatment of head and neck cancer?.- 37. What is the best imaging modality to predict extracapsular nodal extension?.- 38. Is there a role for triple endoscopy in the staging of head and neck cancer?.- 39. Is there a role for induction chemotherapy in advanced head and neck cancer.- 40. Is routine carotid imaging warranted following radiation treatment of head and neck cancer.<p></p>