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Practice Focus » TRIO Best Practices

Is a Tooth Extraction Required if Dentition Lies Within a Mandible Fracture?

January 14, 2022

There is no conclusive evidence that extraction is required when a healthy tooth is present within the fracture line.

When Should a Retained Tympanostomy Tube Be Removed?

January 14, 2022

Currently, there are no guidelines for the management of retained tubes in asymptomatic patients. Should they be removed?

Assessment of Tranexamic Acid in Reducing Intraoperative Blood Loss During Rhytidectomy

January 14, 2022

Tranexamic acid (TXA) is an antifibrinolytic agent that inhibits clot breakdown and is well described in the literature toreduce intraoperative blood loss in craniofacial, cardiac, trauma, dermatologic, and orthopedic surgeries.

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Is Betahistine Effective in the Treatment of Ménière’s Disease?

December 13, 2021

Though some studies show benefit, high-quality data demonstrating the efficacy of betahistine in the treatment of MD is absent.

What Is the Optimal Imaging Modality for Parathyroid Adenoma?

December 13, 2021

Ultrasound, scintigraphy, 4D CT, and MRI all demonstrate utility when evaluating a patient with primary hyperparathyroidism.

Imaging in Cutaneous Melanoma: Which Test to Order and When?

December 13, 2021

Regarding staging for cutaneous melanoma, there is no evidence to suggest that imaging for distant metastasis should be performed for Stages I and II patients in the absence of localizing symptoms.

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What Is the Utility of Genetic Testing in Indeterminate Thyroid Nodules?

November 18, 2021

In addition to helping the patient avoid unnecessary diagnostic surgery, these assessments may provide critical insight as well as offer contemporary personalized treatment options for advanced disease.

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What Is the Right Treatment for Adults with Unilateral Deafness?

November 18, 2021

Current options for hearing rehabilitation offer different advantages to patients with single-sided deafness, and no single modality is clearly superior to the others.

Is Radiation, Sentinel Lymph Node Biopsy, or Neck Dissection Beneficial for the Node Negative Neck in Merkel Cell Carcinoma?

November 18, 2021

The studies presented demonstrate that sentinel lymph node biopsy with lymphoscintigraphy is an important technique in the management of clinical merkel cell carcinoma.

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Margin Recommendations for Cutaneous Malignancies in Immunocompetent and Immunocompromised Patients

October 19, 2021

For low-risk cSCC, 4 to 6 mm margins are recommended, whereas for low-risk BCC, the recommendation is for 4 mm margins.

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