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Practice Focus

Endoscopic Ear Surgery: Advancements and Adoption Challenges 

July 8, 2025

Scan the literature on transcanal endoscopic ear surgery (TEES) and you’ll find a host of benefits for the procedure when it is compared with its microscope-guided counterpart, including enhanced visualization, superior training, and reduced post-operative complications, to name just a few. Coupled with recent equipment advances, such as thinner, more flexible endoscopes and ones that combine cutting and suctioning for enhanced bleeding control, it’s clearly an exciting time for TEES.

How To: Open Expansion Laryngoplasty for Combined Glottic and Subglottic Stenosis

July 8, 2025

Expansion laryngoplasty is a new, combined procedure that can treat both glottic and subglottic stenosis simultaneously. This is a small case series showing how to perform this surgery, as well as outcomes from 15 years.

How to: Pediatric Endoscopic Transsphenoidal Skull Base Approach and Closure: Technique and Technical Tips

July 8, 2025

The authors review their pediatric EESS technique in patients with intra-operative high flow cerebrospinal fluid leak, with a focus on details that differ from adult transsphenoidal surgery technique.

TXA: Potentially Useful Adjunct in the Management of Anterior Epistaxis

July 8, 2025

Current literature suggests that topical TXA could potentially be a useful adjunct in the management of anterior epistaxis.

Remote Programming a Viable Option for the Adult and Pediatric CI Populations

July 8, 2025

What are the effects and outcomes of remote cochlear implant (CI) programming in terms of burden and costs, feasibility and satisfaction, and comparability to traditional in-person CI management, for patients and families within the adult and pediatric CI populations?

New Parotidectomy Quality of Life Index Poised to Help Improve Clinical Practice

July 8, 2025

What is the potential value of a newly developed Parotidectomy Quality of Life Index (PQOL) in addressing the multidimensional nature of patient-centered outcomes from this procedure?

Proposal Would Limit Use of Botulinum Toxin on Patients with Hemifacial Spasm and Facial Dystonia

July 8, 2025

How might a recent Medicare policy proposal concerning off-label use of botulinum toxin injections affect patients with hemifacial spasm and facial dystonia?

Successful Strategy to Overturn Payor Policy Change on Treatment for Postparalytic Facial Palsy

July 8, 2025

What can physicians do to address a payor’s detrimental policy change regarding patient treatment, as demonstrated in a 2021 case impacting patients with postparalytic facial palsy?

Excitement Around Gene Therapy for Hearing Restoration

June 6, 2025

Clinical trials focus on OTOF-associated hearing loss, but other genes identified as appealing next targets

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How To: Endoscopic Total Maxillectomy Without Facial Skin Incision

June 6, 2025

This study presents a pioneering report on an endoscopic-assisted total maxillectomy that allows for en bloc resection without a facial skin incision.

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