Surgical procedural training originated from the Halstedian apprenticeship model, which relies on sheer volume for graded responsibility to achieve “see one, do one, teach one.”
Videofluoroscopic Swallow Study and Fiberoptic Endoscopic Evaluation of Swallow—Which Is Superior?
Accurate assessment of the safety of oral feeds is essential in the pediatric population to avoid the risks of unsafe feeding or unnecessary restrictions.
Why Wait Until After Surgery? The Case for Pre-habilitation in Head and Neck Cancer Care
Multimodal pre-habilitation and rehabilitation have been an important topics in the literature, aiming to combat modifiable patient factors like sarcopenia, malnutrition, and psychological status.
When is the Optimal Time to Reduce Pediatric Nasal Bone Fractures?
Historically, nasal fractures have been reduced within seven days as pediatric patients are thought to undergo rapid osseous healing. Delayed nasal fracture reduction, however, allows soft tissue edema to abate, potentially aiding intraoperative result assessment.
Prophylactic Antibiotics Should Be Used Conservatively in Setting Mandibular Fractures
The current literature, including meta-analyses and systematic reviews incorporating data from 54 separate studies, suggests that prophylactic antibiotics be used conservatively in the setting of mandibular trauma.
Genetic Testing Is Appropriate for Some Pediatric Patients with Unilateral Hearing Loss or Single-Sided Deafness
Genetic testing should be considered when the most common nongenetic causes (congenital cytomegalovirus, negative imaging for structural inner ear, or cochlear nerve abnormality) are ruled out as subtle phenotypic manifestations of syndromic hearing loss.
The Role of Pulmonary Function Testing Prior to Partial Laryngeal Surgery
Laryngeal conservation surgery includes open and endoscopic approaches that address select malignant laryngeal lesions to achieve local control while preserving function.
Using Mucosal Preservation Techniques in Endonasal Dacryocystorhinostomy Improves Long-Term Success
Although the number of randomized control trials is lacking, the current literature suggests mucosal flap preservation may improve outcomes following endoscopic dacryocystorhinostomy.
Anaplastic Thyroid Cancer Treatment by Multidisciplinary Palliative, Radiation, Oncology, and Surgical Teams
Resectable stage IVA/IVB tumors should be treated with surgery followed by chemoradiation, with consideration for dabrafenib/trametinib biotherapy for BRAFV600E-mutated tumors.
What Is the Role of Laryngeal Reinnervation Surgery for Adults with Unilateral Vocal Fold Paralysis?
The primary advantage of laryngeal reinnervation is prevention of denervation atrophy, which limits the long-term voice outcomes of static procedures. Recovery or maintenance of muscle tone is expected to lead to more symmetric vibratory masses, symmetric mucosal wave propagation, and improved voice quality.
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