The given case is a case of High risk patient with a high risk tumour but neck node status unclear (considering No) Total thyroidectomy with level VI dissection and palpation
It is the phenomenon of being able to focus one’s auditory attention on a particular stimulus while filtering out range of other stimulus. It works best as a bin-aural effect
The following factors can influence the selection of flap: Skin and soft tissue volume, bulk and colour. Pedicle length and vessel caliber. Innervation capacity ( Sensory and motor) Bone quality,