{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T09:59:29Z","timestamp":1773309569143,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T00:00:00Z","timestamp":1689724800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Opportunities exist to improve intraoperative communication and documentation of resection margin details. We instituted a \u201cfrozen section timeout\u201d that centers around visualization of the paired resection specimen and surgical defect\u2014facilitating effective, bidirectional exchange of information.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We designed an interactive form for use during the \u201cfrozen section timeout\u201d including annotated 3D virtual models of the resected specimen and surgical defect, plus a \u201cline\u2010item\u201d table for primary and supplemental margin results. The \u201ctimeout\u201d was conducted over a Zoom call between the operating room and frozen section laboratory. The form was simultaneously projected and discussed while all members of the surgical care team stopped activities. Nurses, co\u2010surgeons, and all other members of the surgical team were encouraged to take part in this process.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six frozen section timeouts were conducted during head and neck surgeries in the Department of Otolaryngology at Mount Sinai West Hospital. These timeouts were facilitated by the lead surgeon, and all other activities were halted to ensure that critical information was shared, documented, and agreed upon. During the timeout, the annotated specimen and defect scans were displayed, clearly demonstrating the at\u2010risk margins and the corresponding location and breadth of supplemental margins harvested.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Incorporating a frozen section timeout can improve intraoperative communication, increase transparency, and potentially eliminate uncertainty regarding margin status and tumor clearance. Visualization of at\u2010risk margins and the corresponding location and breadth of supplemental margins promises an unprecedented level of documentation and understanding. This novel technique can establish a new and improved standard of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>NA <jats:italic>Laryngoscope<\/jats:italic>, 134:725\u2013731, 2024<\/jats:p><\/jats:sec>","DOI":"10.1002\/lary.30892","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T12:56:01Z","timestamp":1689771361000},"page":"725-731","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Frozen Section Timeout: Pilot Study to Reconcile Margins Using <scp>3D<\/scp> Resected Specimen and Defect Scans"],"prefix":"10.1002","volume":"134","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7569-7119","authenticated-orcid":false,"given":"Danielle A.","family":"Kapustin","sequence":"first","affiliation":[{"name":"THANC (Thyroid, Head &amp; Neck Cancer) Foundation  New York New York U.S.A."},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3041-0866","authenticated-orcid":false,"given":"Jun","family":"Yun","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head &amp; Neck Cancer) Foundation  New York New York U.S.A."},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1260-9513","authenticated-orcid":false,"given":"Vivian","family":"Su","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head &amp; Neck Cancer) Foundation  New York New York U.S.A."},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7445-5524","authenticated-orcid":false,"given":"Samuel J.","family":"Rubin","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head &amp; Neck Cancer) Foundation  New York New York U.S.A."},{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ippolito","family":"Modica","sequence":"additional","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Chung","sequence":"additional","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Pathology Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohemmed N.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raymond L.","family":"Chai","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Karasick","sequence":"additional","affiliation":[{"name":"THANC (Thyroid, Head &amp; 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