Patients with CPAP-intolerant refractory sleep apnea confirmed by polysomnography should be offered a drug-induced sleep endoscopy (DISE) with the potential for directed surgery.
What Is the Best Test for Diagnosing and Monitoring Treatment Response in Malignant Otitis Externa?
CT and MRI are widely available and afford excellent anatomic resolution.
Do Antivirals Improve Hearing Outcomes in Neonates with Congenital Cytomegalovirus Infection?
Antiviral treatment is associated with improved hearing outcomes in neonates presenting with cCMV and symptomatic central nervous system involvement.
Should Patients with OSA Be Screened for Depression?
Screening for depression in patients with OSA would be worthwhile because there is a high rate of comorbidity, and both are intertwined in their pathophysiology and management.
Does Adherence to Early Infant Hearing Intervention Guidelines Positively Impact Pediatric Speech Outcomes?
Adherence to meeting EHDI 1-3-6 diagnostic and intervention guidelines has a compelling effect on pediatric language development based on recent literature.
Is Antral Choanal Polyp Best Managed by an Endoscopic or Caldwell-Luc Approach?
Debate remains over the safest and most definitive operative approach: the Caldwell-Luc (CWL) approach, the endoscopic sinus surgery (ESS) approach, or a combination of the two.
Is Endolymphatic Sac Surgery Beneficial for Ménière’s Disease?
ESS can be considered in patients that are refractory to medical management as a non-destructive option, as risk to hearing is low.
What Is the Role of Laryngoscopy in Angioedema Isolated to the Lips, Without Laryngeal Symptoms?
Patients with isolated face and lip angioedema, with no signs/symptoms of laryngeal and pharyngeal involvement, can be individually assessed for the need of laryngoscopy.
Are Alloplastic Implants Safe in Rhinoplasty?
Available data suggest that complication rates of alloplastic implants are similar to those seen with autologous costal cartilage and may be acceptable in select patient populations.
What Is the Optimal Timing for Tracheostomy in Intubated Patients?
There are no data to suggest that delayed tracheostomy offers a morbidity or mortality advantage.
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