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Practice Focus » TRIO Best Practices

Preventing Nasogastric Tube Injury: Is There a Better Way?

March 1, 2014

Flexible transnasal endoscopy-assisted placement, as well as 35 mm radiography, and electromagnetic and capnometry assistive devices can reduce complications and lower misplacement rates associated with NGTs

Medical Versus Surgical Management of Pediatric Orbital Subperiosteal Abscesses

March 1, 2014

Patients with orbital SPA who have advanced ophthalmologic findings such as impaired visual acuity, or large abscesses, should be treated surgically, while less serious cases can be treated conservatively with IV antibiotics, nasal saline lavage, and topical decongestants

Does Exposure to Laser Plume Place the Surgeon at High Risk for Acquiring Clinical HPV Infection?

February 5, 2014

Risk of transmission of HPV to surgeons appears to be low, and evacuation of plume from surgical field is an effective strategy to prevent viral contamination

Are Diagnostic Tests Useful for Nasal Valve Compromise?

February 5, 2014

Without a gold standard test to diagnose nasal valve compromise, history and physical exam are key measures for distinguishing among septal, turbinate, and sidewall causes.

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What Is the Evidence for Use of Antibiotic Prophylaxis in Clean-Contaminated Head and Neck Surgery?

January 1, 2014

Antibiotic prophylaxis is effective when used in clean-contaminated oncologic surgery, but shouldn’t be used beyond 24 hours postoperatively

Are Prophylactic Antibiotics Necessary for Otologic Surgery?

January 1, 2014

Routine use of prophylactics in clean otologic surgery is not supported by evidence, and their role in contaminated cases warrants more research

Are Stents Necessary after Choanal Atresia Repair?

January 1, 2014

Patient outcomes are good regardless of whether postoperative stents are used, but repair without stents lessens intensity of postsurgical management and avoids potential for stent-related complications

Are Mastoid Pressure Dressings Necessary after Otologic Surgery to Prevent Postoperative Hematomas?

December 1, 2013

Evidence does not support routine use of mastoid pressure dressing to prevent hematoma, but loose dressings may be beneficial

Does Perioperative Sleep Disruption Impact Pain Perception?

December 1, 2013

Sleep interruptions can reduce patients’ threshold of pain, increase risk of complications, extend convalescence, contribute to poor physical/mental performance, lower patient satisfaction

Should Intranasal Splints Be Used after Nasal Septal Surgery?

December 1, 2013

Conventional splints have been linked to increased postoperative pain; thinner splints may result in improved mucosal status, less postsurgical discomfort

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