<qa>  What is the clearest method to evaluate the possible by limiting bias and confounding variablesThis study seeks to critically evaluate current clinical practice paradigms to better understand the potential benefit of Arista post thyroidectomy with or without lateral neck dissection wound beds. A prospective, randomized, controlled, single-blinded trial is the clearest methodology to evaluate the possible by limiting bias and confounding variables. No clinical trial of this level has been performed on this topic; thus, this proposal is novel and the findings of the study are potentially important. 