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Practice Focus » TRIO Best Practices

What Is the Treatment of the Lateral Neck in Clinically Localized Sporadic Medullary Thyroid Cancer?

January 1, 2013

Can lateral neck dissection be withheld if imaging of the lateral neck is negative and there are positive central lymph nodes?

Is Topical Amphotericin B Efficacious in the Treatment of Chronic Rhinosinusitis?

January 1, 2013

Is there sufficient evidence to continue to recommend this treatment for patients diagnosed with CRS?

Are Hyoid Procedures a Reasonable Choice in the Surgical Treatment of OSA?

December 1, 2012

The role of hyoid procedures in the surgical management of SDB remains uncertain, as several reports have emerged questioning their potential benefit.

Are Post-Operative Hearing Results Better with Titanium Ossicular Reconstruction Prostheses?

December 1, 2012

Do the low weight, high rigidity and delicately engineered design of titanium prosthesis lead to superior hearing results?

Is Polysomnagraphy Required Prior to T+A for Diagnosis of OSA versus Mild Sleep Disordered Breathing in Children?

November 1, 2012

Polysomnography (PSG) has been recommended by the American Academy of Pediatrics as the gold standard for the diagnosis of obstructive sleep apnea (OSA) versus mild sleep disordered breathing (SDB) prior to tonsillectomy and adenoidectomy (T+A) in children. Mild SDB includes primary snoring and upper airway resistance syndrome. Controversy exists regarding the accuracy of history and physical exam (H+P) alone in children for the diagnosis of OSA versus mild SDB prior to T+A. Thus, PSG has been recommended to confirm the diagnosis

Are Routine Dissolvable Nasal Dressings Necessary Following ESS?

November 1, 2012

Nasal dressings have frequently been advocated to improve wound healing and prevent ongoing bleeding after endoscopic sinus surgery (ESS). Initial experience focused on removable nasal packing materials; however, their adverse effect profile, such as pain/discomfort and mucosal trauma, has driven the development of absorbable biomaterials. Despite these developments, there is still little agreement on the optimal choice of nasal dressing or whether nasal dressings are required at all

What Is the Role of Long-Term Macrolide Therapy in the Treatment of Recalcitrant Chronic Rhinosinusitis?

October 2, 2012

Long-duration therapy with macrolide antibiotics has been advocated for the treatment of recalcitrant chronic rhinosinusitis (CRS). However, uncertainty exists as to which patients will respond to such treatment, the degree of benefit likely to be obtained, and the relevant risks to the patient and community at large

When Is Surgery Indicated for Asymptomatic Primary Hyperparathyroidism?

October 1, 2012

Once a rare symptomatic disorder characterized by kidney stones, bone loss, neuromuscular disorders and other hypercalcemic signs, PHPT is now appreciated to have a much higher incidence than previously thought, and to usually be only mildly symptomatic or even asymptomatic

Does Addition of Antiviral Medication to High-Dose Corticosteroid Therapy Improve Hearing Recovery Following ISSNHL?

September 6, 2012

Evidence regarding the addition of antiherpetic medications to high-dose steroid therapy in the treatment of idiopathic sudden sensorineural hearing loss.

Should Antibiotics Be Prescribed for Acute Otitis Media?

September 6, 2012

The clinical decision to treat or not to treat children with AOM remains controversial.

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