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Practice Focus » TRIO Best Practices

What Is the Best Test for Pediatric Gastroesophageal Reflux Disease?

September 7, 2014

Evidence suggests a 24-hour pH probe (pHP) and multichannel esophageal intralumenal impedance testing is superior to pHP alone

Should Patients with Posterior Nasal Packing Require ICU Admission?

September 7, 2014

Evidence suggests admitting most patients to otolaryngology ward with continuous pulse oximetry

Is Sialendoscopy an Effective Treatment for Obstructive Salivary Gland Disease?

September 7, 2014

Diagnostic sialendoscopy highly effective at identifying sialolithiasis in obstructive salivary gland disease, offers therapeutic benefits

Is Voice Therapy Effective in Managing Vocal Fold Nodules in Children?

August 1, 2014

Voice therapy techniques can help improve voice quality in children without negative side effects

Treatment Termination Criteria for Necrotizing (Malignant) Otitis Externa

July 1, 2014

Antibiotics, imaging studies, antimicrobial therapy and 6-month follow up for NOE is recommended

Frey’s Syndrome Prevention, Treatment Following Parotid Surgery

July 1, 2014

Parotid parenchyma-sparing procedures, interpositional grafts aid in prevention; intradermal botulinum toxin type A injections may be used in treatment

Is There a “Best” Stapedectomy Prosthesis?

June 1, 2014

Research does not suggest that any one prosthesis design—wire loop, piston, or bucket handle—is better than another in terms of postoperative hearing outcomes

Is Post-­Operative Stenting Necessary in Endoscopic Dacryocystorhinostomy?

June 1, 2014

Endoscopic DCR without stenting reduces intensity of post-operative management, avoids potential for stent-related complications, and offers comparable patient outcomes

What Is the Optimal Workup for a Child with Bilateral Sensorineural Hearing Loss?

May 1, 2014

Combined with a thorough history, physical, and audiologic exam along with ophthalmologic consultation, children with SNHL should be evaluated using sequencing algorithm based on degree of hearing loss

Is Surgery Necessary for All Vocal Fold Polyps?

May 1, 2014

Conservative approaches, such as voice therapy and vocal hygiene measures, can offer sufficient improvement and avoid inherent risks of surgery

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