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.
What Is the Evidence for Use of Antibiotic Prophylaxis in Clean-Contaminated Head and Neck Surgery?
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?
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?
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?
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?
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?
Conventional splints have been linked to increased postoperative pain; thinner splints may result in improved mucosal status, less postsurgical discomfort
Endoscopic versus Open Craniofacial Resection of Esthesioneuroblastoma: What Is the Evidence?
The optimal treatment involves complete surgical resection, with endoscopic techniques used most often for lower-stage tumors and open techniques in advanced cases
Is Percutaneous Dilational Tracheotomy Equivalent to Traditional Open Surgical Tracheotomy With Regard to Peri-Operative and Post-Operative Complications?
PDT appears to be a safe alternative to open surgical tracheotomy, although it may increase risk of asymptomatic tracheal stenosis
Atresiaplasty versus Bone-Anchored Hearing Aid for Congenital Aural Atresia
Atresiaplasty offers best opportunity for hearing improvement in patients with a Jahrsdoerfer score of grade 6 or higher
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