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Practice Focus » TRIO Best Practices

Inconsistency in Findings that Intraoperative Electrocochleography Improves Hearing Preservation in Cochlear Implantation

January 5, 2024

Electrocochleography (ECoG) has historically been used for measuring hearing thresholds and identifying endolymphatic hydrops in Ménière’s disease. More recently, ECoG application has expanded to monitor electrical potentials during cochlear implantation as an indirect measure of cochlear trauma.

Laryngeal Reinnervation Is Recommended Surgical Intervention for Pediatric Unilateral Vocal Fold Paralysis

January 5, 2024

Laryngeal reinnervation should be offered to all patients independent of patient age or duration of denervation, as it can improve voice and swallowing. Long-term denervation, however, may result in a smaller degree of improvement.

Determining Appropriate Objective Testing for Patients with Suspected Laryngopharyngeal Reflux

January 5, 2024

Staging severity of laryngopharyngeal reflux with more objective testing is crucial to understanding its natural history, forecasting response to treatment, and it may serve as a gateway to considering surgical treatments.

What is the Role of Tranexamic Acid in Septorhinoplasty?

October 27, 2023

The use of tranexamic acid to reduce intraoperative bleeding may have applications in septorhinoplasty.

Is Hyperbaric Oxygen Effective in the Treatment of Sudden Sensorineural Hearing Loss?

October 27, 2023

Randomized controlled trials with standardized hyperbaric oxygen therapy treatment protocols and attention to social determinants of health and other confounders are desperately needed to establish efficacy.

Is There a Role for Adjuvant Therapy in Patients with Large Juvenile Nasopharyngeal Angiofibromas?

October 27, 2023

Adjuvant therapy may have a limited role in select patients with advanced JNAs to achieve acceptable outcomes while minimizing serious morbidity and mortality.

Repair of Type 1 Laryngeal Cleft

October 3, 2023

There is significant debate in the literature on diagnosis and the ideal approach to treatment when sequelae are present with congenetial laryngal cleft.

Are Simulated or 3D-Printed Temporal Bones as Useful for Training as Cadaveric Bones?

October 3, 2023

A potential solution for lack of cadaveric temoral bone has been the use of virtual or 3D-printed temporal bones to simulate the drilling exercise and provide specimens to teach anatomy and procedures.

Elexacaftor/tezacaftor/ivacaftor May be Effective in Treating Sinonasal Disease in Patients with Cystic Fibrosis

October 3, 2023

The combination of lexacaftor/tezacaftor/ivacaftor has been shown to have positive effects on multiple organ systems.

Is “See One, Do One, Teach One” the Best Way to Learn Procedures?

August 17, 2023

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.”

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