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Practice Focus

How To: Extended External Rhinoplasty Approach for Nasal Dermoids With Intracranial Extension

March 15, 2023

Extended external rhinoplasty with bilateral marginal and alar base incisions provides access to the nasal part of the dermoid and excellent visualization of the anterior skull base for complete excision of large intracranial cysts in a cosmetically favorable manner.

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How To: Expanded Transcanal Transpromontorial Approach for Acoustic Neuroma Removal

March 15, 2023

Despite the accumulating evidence of feasibility, safety, and positive functional outcomes of the Expanded Transcanal Transpromontorial Approach, its spread has been restricted to few centers across the world.

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How To: Modified Endoscopic Dacryocystorhinostomy Nasal Mucoperiosteal Flap Technique

February 15, 2023

Due to its facial scar avoidance, better accuracy in locating the lacrimal sac, and decreased blood loss, endoscopic dacryocystorhinostomy (eDCR) has become much more popular than external approaches.

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Persistent Tracheocutaneous Fistula Seen in More Than Half of Decannulated Children

February 15, 2023

A tracheocutaneous fistula (TCF) commonly persists after pediatric tracheostomy decannulation, potentially preventing tract closure and negatively impacting phonation, swallowing, and cough physiology.

Elective Neck Dissection Does Not Improve Survival Rate but May Have Prognostic Role in Oral Cavity Mucosal Melanoma

February 14, 2023

Elective Neck Dissection does not improve survival rate but may be useful for staging and identifying candidates for treatment intensification, as well as for offering prognostic information to the patient.

Diclofenac Sodium Not Inferior to Hydrocodone/Acetaminophen for Postoperative Pain After Endoscopic Sinus Surgery

February 14, 2023

This study provides additional evidence that we may be able to minimize narcotic pain medication use and reserve it for patients who are uncontrolled on NSAIDs alone.

Researchers Develop Consensus Statements on Use of Swallowing Fluoroscopy in Adults Best Practices

February 14, 2023

Researchers arrived at 40 statements for the comprehensive use of swallowing fluoroscopy in adults to guide best practices and influence policy regarding the procedure.

Is Tranexamic Acid Effective for Hemostasis During Endoscopic Sinus Surgery?

February 14, 2023

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 […]

Should Injection Laryngoplasty Be Performed for Acute Unilateral Vocal Fold Paralysis to Improve Swallowing Safety?

February 14, 2023

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.

How To: Enhanced Intraoperative Communication of Tumor Margins Using 3D Scanning and Mapping

February 14, 2023

Given the high rate of positive surgical margins in head and neck cancer, there is a need to improve margin analysis technique and intraoperative communication protocols.

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