TXA is increasingly used in otolaryngology to reduce intra-operative and post-operative bleeding, supported by evidence from emergency medicine and orthopedic surgery. Its safety profile is strong, and it is administered intravenously or orally, with emerging use in pediatric and adult otolaryngologic procedures.
Correctly identifying the origin or cause of VPI is critical to successful treatment. Surgeons share their thoughts on treating velopharyngeal insufficiency with injectables.
Oral steroids in chronic rhinosinusitis; macrolide therapy for chronic rhinosinusitis; parotid gland lymphoma consideration in parotid lesion evaluation; better dialogues with patients may minimize liability in cranial nerve injury malpractice trials; obesity in children with OSA can lead to depression, withdrawal; many otolaryngologists dissatisfied with current sinus CT results
Transnasal balloon catheter dilation of eustachian tube relieves ear pressure; fat graft myringoplasty highly successful in certain tympanic membrane perforations; molecular testing may improve differentiated thyroid cancer diagnoses; polysomnography widely used in pediatrics, but not up to practice guidelines; length of intubation, number of sedation doses affect subglottic stenosis risk in children; little difference between tetracaine and lidocaine for nasal endoscopy
MRI cost justified in dysosmia; ESS superior to medical therapy for QOL in CRS; First-line steroid therapy can improve outcomes for ISSHL; TORS total laryngectomy effective for salvage surgery; Cidofovir effective for recurrent respiratory papillomatosis; High-volume academic medical centers have lower complication rates for head and neck oncologic surgery
Guidelines are becoming an essential component of clinical care. A look at their development and intended use.
Routine ICU admission for all post-surgical OSA patients unnecessary; parent education for adenotonsillectomy risks; resident Facebook postings impact professionalism; no difference in life expectancy with HNSCC imaging modality; nasal steroids effective in chronic rhinosinusitis with polyposis; costs of laryngeal diseases.