Overnight monitoring is advised for patients with higher preoperative apneic indices, and/or cardiovascular comorbidities, and those undergoing tongue base surgery who may be at higher risk for respiratory complications
TRIO Best Practices
Delay in repairing mandible fractures post-injury can be associated with technical challenges and complications, but a delay of up to five days has not been shown to compromise outcomes in terms of bony union and occlusion.
Voice outcomes are similar whether patients are treated with endoscopic surgical resection or radiation therapy (XRT).
Can lateral neck dissection be withheld if imaging of the lateral neck is negative and there are positive central lymph nodes?
Is there sufficient evidence to continue to recommend this treatment for patients diagnosed with CRS?
The role of hyoid procedures in the surgical management of SDB remains uncertain, as several reports have emerged questioning their potential benefit.
Do the low weight, high rigidity and delicately engineered design of titanium prosthesis lead to superior hearing results?
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
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
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