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Practice Focus » TRIO Best Practices

Is Post-Operative Nasal Stenting Necessary After Primary Cleft Lip and Nose Repair

April 3, 2025

Evidence suggests that post-operative nasal stents are beneficial if used for three to six months by a hypothesized mechanism of hindering the contraction and regression of the surgically repositioned lower lateral cartilages.

Is Topical Tranexamic Acid Effective in Treating Epistaxis?

April 3, 2025

Epistaxis is a common emergency department (ED) presentation. Many cases are self-limited, but other cases may require an intervention to stop bleeding. Methods to manage epistaxis include nasal compression, topical vasoconstrictors, cautery, nasal packing, and even surgical ligation in severe cases.

Current Indications for Surgical Intervention with Lateral Skull Base Osteomyelitis

January 8, 2025

Over the past few decades, a transition toward culture-directed antibiotics has shifted the treatment paradigm of SBO toward primary medical management, with mortality rates now decreasing to 10-20% compared to 50% initially.

What Are the Predictors of Success with Hypoglossal Nerve Stimulation?

January 8, 2025

HNS was approved by the U.S. Food and Drug Administration in 2014 as a treatment option for patients with moderate to severe OSA who cannot tolerate CPAP.

Can Calcitonin Levels Guide Prophylactic Neck Dissection in Sporadic Medullary Thyroid Carcinoma?

October 4, 2024

Medullary thyroid carcinoma (MTC) comprises less than 5% of thyroid cancers but is responsible for more than 10% of deaths related to thyroid cancer.

Can Anticoagulation Be Safely Continued in Most Otolaryngologic/Head and Neck Surgery?

October 4, 2024

Antithrombotic management is a key component of surgical optimization, as it necessitates balancing the risk of a peri-operative thrombotic event with the risk of bleeding. 

What Is the Optimal Method for Margin Assessment in Oral Cavity Carcinoma?

October 4, 2024

Although en bloc resection remains the standard of care for primary treatment of oral cavity squamous cell carcinomas (OCSCC), methods of intra-operative assessment of margins vary.

When Should We Recommend Intracapsular Tonsillectomy in Pediatric Patients? 

August 6, 2024

Intracapsular tonsillectomy is a safe and effective method for performing tonsillectomy and should be included in future clinical practice guidelines for tonsillectomy. 

Where Does Hypoglossal Nerve Stimulator Implant Fit in the Surgical Management Algorithm of Obstructive Sleep Apnea? 

August 6, 2024

Hypoglossal Nerve Stimulator therapy is an effective and safe surgical option for patients with moderate to severe OSA who cannot tolerate PAP therapy. 

Is p16 Testing Sufficient as a Surrogate for HPV-Related Squamous Cell Carcinoma?

July 11, 2024

The use of p16 as a surrogate marker for HPV has gained traction, but is it sufficient as a surrogate for HPV-related squamous cell carcinoma?

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