Routine universal imaging before velopharyngeal dysfunction operations in patients with 22qDS is not recommended. Rather, the surgical technique and careful dissection should be the priority.
Are Boot Camps an Effective Teaching Modality for Junior Otolaryngology Residents?
The available evidence demonstrates that boot camps are well-received and viewed as highly valuable by trainees, and they’re effective at improving trainee confidence, with benefits persisting at least six months after participation.
What Is the Current Management of Osteoradionecrosis of the Temporal Bone Following Head and Neck Cancer Radiotherapy?
Temporal bone ORN is a rare but serious complication of head and neck cancer treatment. Medical management, including topical antimicrobials, debridement, PENTO protocol, HBO therapy, and pain relief, can be effective for localized cases. Surgical intervention is recommended for diffuse disease, severe pain, uncontrolled infections, cholesteatomas, and patients over 60. More research and randomized control trials are needed to determine the best treatment approaches.
Are Prophylactic Post-Operative Antibiotics Indicated for Uncomplicated Endoscopic Skull Base Surgery?
Current evidence indicates that the risk of meningitis and CNS infections after ESBS is low, especially in uncomplicated cases without CSF leaks. Post-operative antibiotics show no clear benefit in these patients and are not recommended. In cases with CSF leaks, the risk of infection is significantly higher, requiring careful management by the surgeon.
Is Prophylactic Peri-Operative Antibiotic Indicated in Cochlear Implantation?
The risk of complications after CI surgery is low, but severity may impact antibiotic prescribing patterns, despite limited evidence. Studies indicate that a single intra-operative dose of antibiotics can prevent post-operative infections in both children and adults, though they have limitations such as retrospective designs and differing surgical practices. Until more randomized controlled trials are conducted, antibiotic use will likely depend on individual provider choice, especially for children who have higher rates of otitis media. Future research should focus on controlled trials at single centers to better understand the role of prophylactic antibiotics in CI surgery.
Is There Benefit of Music Training Following Cochlear Implantation?
Post-implantation music training has significant benefits in enhancing music perception in CI users, specifically in music instrument recognition, melodic contour identification, and emotion discernment; younger age, longer duration of music training, and bilateral CI use are positive predictors of success.
Is Cognitive Behavioral Therapy Effective for Tinnitus?
Cognitive behavioral therapy is an effective treatment option for individuals with bothersome tinnitus, particularly for those with high levels of tinnitus distress and anxiety.
Does Dupilumab Improve Sinonasal Outcomes in AERD Patients?
Despite limited randomized trials specific to AERD, the consistent improvements in sinonasal outcomes across studies strongly support dupilumab as an effective treatment for AERD patients post-FESS.
What Is the Optimal Timing for Elective Otolaryngologic Surgery After Stroke?
Authors recommend delaying elective surgery for six to 14 months depending on patient risk factors, surgical complexity, and urgency.
What Is Considered Adequate Surgery for Chronic Rhinosinusitis with Nasal Polyps?
Chronic rhinosinusitis (CRS) is among the most prevalent chronic medical conditions globally. A survey of Canadian households reported the prevalence of CRS to be 5%. CRS is a clinical syndrome defined by persistent symptomatic inflammation of the mucosa in the nasal cavities and sinuses. A common subtype of CRS is CRS with nasal polyps (CRSwNP), which is identified through endoscopy or imaging
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