The head and neck surgery and oncology unit was established to provide a professional and prompt solution, for a variety of head and neck benign and malignant tumors. The unit includes senior head and neck surgeons, an oncologist, reconstructive plastic surgeons and senior head and neck radiologists. The unit handles any head and neck benign or malignant diseases, in collaboration with various treatment providers with healthcare professionals including an oncologist and a radiologist in joint meetings. A range of head and neck surgeries for the removal of benign and malignant tumors are performed, including thyroidectomy and parathyroidectomy, parotidectomy, glossectomy, pharyngeal and laryngeal tumors. Sometimes, complex reconstructions were conducted, including a free flap, after glossectomy or maxillectomy or obturator, after (maxillectomy).
The surgery and oncology clinic: each patient is examined by a head and neck surgeon (Dr. Hefetz) and an oncologist (Prof. Ben Yosef, Dr. Popovtzer) to get a balanced opinion when the malignant tumor treatment policy is not clear. In addition, recommendations are made about treatment with radioactive iodine for thyroid cancer patients. The patients can undergo the treatment at Assuta hospital quickly under the supervision of Prof. Ben Yosef. In addition, radiography meetings and oncological meetings take place with a team of radiography oncologists, a team of head and neck surgeons and, if necessary, radiologists (tumor board) to discuss complex oncological cases. In cases where there is a need in radiation or chemotherapy treatment, the patient is transferred to the oncology unit at Assuta for fast and professional care.
The ENT – Plastic surgery clinic: each patient is examined by a head and neck surgeon (Dr. Hefetz) and reconstructive plastic surgeon. The unit is designed for patients who require extensive head and neck tumor removals, which require complicated reconstruction or severe cases of aesthetic disorders following oncological treatment requiring reconstructive surgery.
Prof. Avi Hefetz is a graduate of the Faculty of Medicine at Tel Aviv University. After five years of service as a physician and commander in the army, he completed a residency at the ENT Department in Kaplan Hospital. During residency, he was accepted to the Memorial Sloan Kettering Hospital Cancer Center in New York, where he spent a year conducting “head and neck research”, in addition to clinical practice.
Following residency, he was accepted to one of the leading departments in the United States, recognized by the American Board of Head and Neck Surgery. For two years, he specialized in oncologic head and neck surgery at Oklahoma University, working under one of the world-leading head and neck surgeons (E Jesus Medina). After returning to Israel, he was appointed a senior head and neck surgeon – at the ENT and Head and Neck Surgery department in Tel Aviv Medical Center (Ichilov).
During the last twenty years, he has been providing treatments to patients with head and neck tumors. This includes: diagnosis of tumors, various surgical removals of tumors and referral of patients to adjuvant oncological treatment and/or, if necessary, surgery-replacement treatment. In recent years, Prof. Hefetz has performed thousands of head and neck surgeries at Assuta. Among his patients have been a number of celebrities, including Prof. Yakir Aharonov (an Israel Prize laureate and nominee for the Nobel Prize in Physics, as well as holder of a US National Medal of Science. Prof.r Yakir underwent glossectomy and tongue reconstruction with a free flap and has been healthy for several years since the surgery), the model and actress Adi Himelbloy (who underwent thyroidectomy and cervical dissection), the celebrity Orit Rahamim (who underwent resection of a tumor in the thyroid that expanded into the chest), and many others.
To date, Prof. Avi Hefetz has published approximately 60 scientific articles in medical literature worldwide, and delivered approximately 60 presentations at professional conferences in Israel and worldwide. In addition, he has authored multiple publications in newspapers and appeared on television as an expert in his field.
Former senior lecturer on ENT medicine at Tel Aviv University.
In November 2009, Prof. Hefetz was elected as the chairman of the Israeli Society of Head and Neck Surgery and Oncology, a role he held till 2013.
He was recently appointed as an adviser to the Israel Cancer Association in the field of Head and Neck Surgery and Oncology.
Together with Prof. Roee Landsberg and Prof. Michal Luntz, Prof. Hefetz founded the A.R.M Center in 2009.
Hebrew, English, French
Prof. Ben Yosef completed his medical studies at the Hebrew University in Jerusalem in 1979.
During the subsequent decade, he completed his military service in the Medical Corps (in field units and headquarters positions), as well as his residency in Clinical and Radiation Oncology at Hadassah Ein Kerem Hospital.
From 1990 to 1993 he attended a training program at the Department of radiotherapy at Stanford University in California.
Since then, Prof. Ben Yosef is engaged in providing treatments to oncology patients, working at the Cancer Research Laboratory, and providing medical-legal consultation. Some of his main areas of activity includes head and neck tumors and thyroid tumors. He is currently the (acting) director of the Head, Neck and Thyroid Tumors Unit at the Oncology Division in Tel Aviv Medical Center. In addition, he manages the Head and Neck Oncology Unit at the Center for Otorhinolaryngology and Head and Neck Surgery at A.R.M, Assuta Ramat HaHayal.
The purpose of this surgical procedure is to reduce a prominent ADAM’s apple in man or transgender woman that are disturbed from its appearance.
Until now the only approach to thyroid shave was the trans-cervical approach leaving the patient with a visible scar in the neck, substituting one cosmetic deformity with another.
Recently Dr. Hefetz started using the trans-vestibular trans-oral approach. This approach was described recently for scar-less thyroid and parathyroid surgery by Rakph Tufano from Johns Hopkins university and for the last year Dr Hefetz performed over 50 trans-oral thyroidectomy and parathyroidectomy using this unique approach. Lately Dr Hefetz thought that we may be able to reduce the thyroid cartilage and flatten a pronounced ADAM’s apple through this scar=less approach. A cartilage shaver was designed specifically for that procedure and was examined on cadavers. Following institutional approval four trans-gender woman underwent the surgical procedure.
The operation took 1.5-2 hours and in all patients it was uneventful.
Hospital stay was 1 day (as in all trans-oral endoscopic thyroid and parathyroid surgery).
There is no limitation in diet or speech immediately following surgery.
Attached are patients prior to and following the surgical procedure:
Assuta Hospital, Ramat HaHayal, 20 HaBarzel St. Tel Aviv
Phone Number: 03-7645464 | Fax: 03-7645462
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