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Practice Focus » TRIO Best Practices

What is the Appropriate Extent of Lateral Neck Dissection in the Treatment of Metastatic WDTC?

June 1, 2013

Evidence exists for employing both selective neck dissection and modified radical neck dissection in this setting

Is Partial Tonsillectomy Equivalent to Total Tonsillectomy for Obstructive Symptoms?

May 1, 2013

Partial tonsillectomy is equivalent to total tonsillectomy for the treatment of obstructive symptoms in children; however the outcomes are not standardized and many studies are limited

Is Laryngeal Electromyography Useful in the Diagnosis and Management of Vocal Fold Paresis/Paralysis?

May 1, 2013

In many cases, LEMG can differentiate neural disruption from structural immobility and predict which patient will not recover vocal fold motion after a nerve injury

Is Nasal Surgery Effective Treatment for Obstructive Sleep Apnea?

April 1, 2013

While there is no evidence that nasal surgery alone will improve objective measures of OSA, patients experience subjectively better sleep and quality of life following corrective nasal surgery

Is Computed Tomography or Magnetic Resonance Imaging More Useful in the Evaluation of Pediatric Sensorineural Hearing Loss?

April 1, 2013

Computed tomography (CT) may be a better initial choice, but a dual approach is useful for a patient who may be a candidate for cochlear implant

Is Cartilage Preferable to Fascia Myringoplasty in Children?

March 1, 2013

Cartilage grafting has comparable postoperative hearing results to traditional fascia grafting in pediatric patients, as well as improvement in long-term closure of the tympanic membrane

Is Overnight Monitoring Required for Adult Patients Undergoing Surgery for Obstructive Sleep Apnea?

March 1, 2013

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

Is Fixation of Mandible Fractures Urgent?

February 1, 2013

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.

Are Patient-Reported Voice Outcomes Better after Surgery or after Radiation for Treatment of T1 Glottic Carcinoma?

February 1, 2013

Voice outcomes are similar whether patients are treated with endoscopic surgical resection or radiation therapy (XRT).

What Is the Treatment of the Lateral Neck in Clinically Localized Sporadic Medullary Thyroid Cancer?

January 1, 2013

Can lateral neck dissection be withheld if imaging of the lateral neck is negative and there are positive central lymph nodes?

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