Based on the current literature, there is evidence to suggest a beneficial role of endoscopic sinus surgery (ESS) post lung transplantation in cystic fibrosis (CF) patients with and without nasal polyposis.
TRIO Best Practices
Patients with CPAP-intolerant refractory sleep apnea confirmed by polysomnography should be offered a drug-induced sleep endoscopy (DISE) with the potential for directed surgery.
CT and MRI are widely available and afford excellent anatomic resolution.
Antiviral treatment is associated with improved hearing outcomes in neonates presenting with cCMV and symptomatic central nervous system involvement.
Screening for depression in patients with OSA would be worthwhile because there is a high rate of comorbidity, and both are intertwined in their pathophysiology and management.
ESS can be considered in patients that are refractory to medical management as a non-destructive option, as risk to hearing is low.