Genetic Testing Is Appropriate for Some Pediatric Patients with Unilateral Hearing Loss or Single-Sided Deafness
Genetic testing should be considered when the most common nongenetic causes (congenital cytomegalovirus, negative imaging for structural inner ear, or cochlear nerve abnormality) are ruled out as subtle phenotypic manifestations of syndromic hearing loss. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - July 19, 2023 Category: ENT & OMF Authors: Armine Kocharyan, MD, Amanda M. Schaefer, MS, LGC, Richard J. H. Smith, MD, and Marlan R. Hansen, MD Tags: Pediatric Pediatric Otolaryngology Practice Focus TRIO Best Practices hearing loss single-sided deafness Source Type: research
The Role of Pulmonary Function Testing Prior to Partial Laryngeal Surgery
Laryngeal conservation surgery includes open and endoscopic approaches that address select malignant laryngeal lesions to achieve local control while preserving function. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - July 18, 2023 Category: ENT & OMF Authors: Harrison Cash, MD, Tanya K. Meyer, MD, and Zain H. Rizvi, MD Tags: Laryngology Practice Focus TRIO Best Practices laryngeal surgery pulmonary function testing Source Type: research
Using Mucosal Preservation Techniques in Endonasal Dacryocystorhinostomy Improves Long-Term Success
Although the number of randomized control trials is lacking, the current literature suggests mucosal flap preservation may improve outcomes following endoscopic dacryocystorhinostomy. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - July 18, 2023 Category: ENT & OMF Authors: Michael Ghiam, MD, and Ashutosh Kacker, MD Tags: Practice Focus Rhinology TRIO Best Practices Endoscopic Dacryocystorhinostomy Source Type: research
Anaplastic Thyroid Cancer Treatment by Multidisciplinary Palliative, Radiation, Oncology, and Surgical Teams
Resectable stage IVA/IVB tumors should be treated with surgery followed by chemoradiation, with consideration for dabrafenib/trametinib biotherapy for BRAFV600E-mutated tumors. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - July 18, 2023 Category: ENT & OMF Authors: Kareem Al-Mulki, MD, and Richard V. Smith, MD Tags: Head and Neck Practice Focus TRIO Best Practices multidisciplinary care thyroid cancer Source Type: research
What Is the Role of Laryngeal Reinnervation Surgery for Adults with Unilateral Vocal Fold Paralysis?
The primary advantage of laryngeal reinnervation is prevention of denervation atrophy, which limits the long-term voice outcomes of static procedures. Recovery or maintenance of muscle tone is expected to lead to more symmetric vibratory masses, symmetric mucosal wave propagation, and improved voice quality. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - June 13, 2023 Category: ENT & OMF Authors: Pranati Pillutla, MD, Kirsten Meenan, MD, and Dinesh K. Chhetri, MD Tags: Laryngology Practice Focus TRIO Best Practices laryngeal reinnervation surgery Source Type: research
Does Platelet-Rich Plasma Have a Therapeutic Role in Hair Restoration?
Platelet-rich plasma has a therapeutic role in hair restoration, with most trials examined having a low risk of bias. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - June 13, 2023 Category: ENT & OMF Authors: Marc Levin, MD, and Jeffrey H. Spiegel, MD Tags: Facial Plastic/Reconstructive Practice Focus TRIO Best Practices hair restoration platelet-rich plasma Source Type: research
Nuclear Medical Imaging Is Recommended in the Diagnosis and Management of Head and Neck Paragangliomas
Nuclear medical imaging is strongly recommended in the diagnosis of paragangliomas that are familial, SDHB variants, malignant, or potentially multifocal, but those that have classic presentations do not routinely require peptide receptor imaging. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - June 13, 2023 Category: ENT & OMF Authors: David Myssiorek, MD, and Stephen C Scharf, MD Tags: Head and Neck Practice Focus TRIO Best Practices paragangliomas Source Type: research
Certain Approaches to Superior Semicircular Canal Dehiscence Repair Are Effective for Favorable Hearing Outcomes for Patients
Middle cranial fossa and transmastoid approaches to superior semicircular canal dehiscence repair are effective approaches that result in acceptable rates of favorable hearing outcomes for patients. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - June 13, 2023 Category: ENT & OMF Authors: Hunter L. Elms, MD, Julia E. Canick, AB, and David M. Kaylie, MD, MS Tags: Otology/Neurotology Practice Focus TRIO Best Practices superior semicircular canal dehiscence repair Source Type: research
What Really Works in Functional Rhinoplasty?
Functional rhinoplasty is an umbrella term used to describe the various surgical techniques that alter the external nasal structure with the goal of improving nasal breathing. Numerous techniques have been described and shown to be successful. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - March 15, 2023 Category: ENT & OMF Authors: Jeffrey Mella, MD, Samuel Oyer, MD, and Stephen Park, MD Tags: Practice Focus Rhinology TRIO Best Practices nasal airway obstruction Source Type: research
Is the Best Modality to Assess Vocal Fold Mobility in Children Flexible Fiberoptic Laryngoscopy or Ultrasound?
The gold standard in the evaluation of VFI in children is awake flexible fiberoptic laryngoscopy (FFL) but over the past decade, ultrasound (US) has gained increasing attention as a modality for assessing vocal fold mobility in children. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - March 15, 2023 Category: ENT & OMF Authors: Claire M. Lawlor, MD, and Sukgi S. Choi, MD, MBA Tags: Pediatric Practice Focus TRIO Best Practices Laryngoscopy ultrasound vocal fold immobility Source Type: research
Is Tranexamic Acid Effective for Hemostasis During Endoscopic Sinus Surgery?
TRIO Best Practice articles are brief, structured reviews designed to provide the busy clinician with a handy outline and reference for day-to-day clinical decision making. The ENTtoday summaries below include […] (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - February 14, 2023 Category: ENT & OMF Authors: Zachary H. Douglas, MD, Jay F. Piccirillo, MD, John Schneider, MD, Lauren T. Roland, MD, and Nyssa Fox Farrell, MD Tags: Laryngology Practice Focus TRIO Best Practices endoscopic sinus surgery Source Type: research
Should Injection Laryngoplasty Be Performed for Acute Unilateral Vocal Fold Paralysis to Improve Swallowing Safety?
Outpatients with voice and swallowing complaints are often referred to otolaryngologists who diagnose UVFP and may perform injection laryngoplasty under local anesthesia in the office setting. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - February 14, 2023 Category: ENT & OMF Authors: Yin Yiu, MD, Daniel Gorelik, BS, and Anaïs Rameau, MD, MPhil, MS Tags: Otology/Neurotology Practice Focus TRIO Best Practices vocal fold paralysis Source Type: research
What Is the Role of Induction Chemotherapy in the Treatment of Locally Advanced Sinonasal Squamous Cell Carcinoma?
Sinonasal neoplasms have a wide spectrum of histopathologies and biological behaviors, but close proximity to critical structures, such as the skull base and orbit, can make surgical resection a challenge. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - January 18, 2023 Category: ENT & OMF Authors: Arash Abiri, BS, Maie A. St. John, MD, PhD, and Edward C. Kuan, MD, MBA Tags: Head and Neck Practice Focus TRIO Best Practices chemotherapy Source Type: research
Does Surgery for Nasal Obstruction Improve Eustachian Tube Dysfunction?
Eustachian tube dysfunction (ETD) is often associated with nasal obstruction and inferior turbinate hypertrophy; is nasal surgery an option? (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - January 18, 2023 Category: ENT & OMF Authors: Celina Virgen, MD, MPH, Tuleen Sawaf, BS, Bryan Renslo, BS, and Alexander G. Chiu, MD Tags: Otology/Neurotology Practice Focus TRIO Best Practices surgical management Source Type: research
What Is the Role of Adjuvant Radiotherapy in Head and Neck Melanoma in the Era of Systemic Therapy?
In the era of effective adjuvant systemic therapies, the use of ICI alone in the adjuvant setting may be insufficient to effectively reduce regional failure. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - September 30, 2022 Category: ENT & OMF Authors: Jobran Mansour, MD, Ameya Asarkar, MD, John Pang, MD, and Cherie-Ann O. Nathan, MD Tags: Head and Neck Practice Focus TRIO Best Practices head and neck cancer treatment Source Type: research
