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Practice Focus » TRIO Best Practices

Is Olfactory Function Affected by Endoscopic Transsphenoidal Skull Base Surgery?

October 19, 2021

The endoscopic endonasal transsphenoidal approach is an effective technique commonly utilized for resection of sellar and parasellar lesions.

Should Oral Antibiotics Be Prescribed Routinely Post-Endoscopic Sinus Surgery?

September 19, 2021

The current level 1 evidence does not support the routine use of oral antibiotics postoperatively.

Should Exogenous Estrogens Be Stopped for Surgery in Transgender Women?

September 15, 2021

The practice of discontinuing estrogen therapy for two weeks prior to surgery should be weighed against individual risk factors, mode of administration, and side effects.

Should Isotretinoin Be Stopped Prior to Surgery?

August 19, 2021

Recent prospective clinical studies have not found an increased incidence of facial scarring in patients using isotretinoin in the perioperative period.

When Should Adults with Bilateral Hearing Loss Be Referred for Cochlear Implant Evaluation?

August 19, 2021

Many patients who would likely benefit from implantation are never referred due to poor regional access, and, perhaps most importantly, lack of established CIE referral guidelines.

Does Stereotactic Radiosurgery Worsen Vestibular Symptoms in Patients with Vestibular Schwannoma?

July 20, 2021

Sterotactic radiosurgery (SRS) for the treatment of VS can be associated with increased balance symptoms, often within the first six months after treatment.

Should Bedside Laryngoscopy Be Routinely Performed Following Thyroidectomy?

July 20, 2021

The role and timing of routine bedside layngoscopy following thyroidectomy remain controversial.

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Is Olfactory Training Effective Treatment for Postinfectious Smell Loss?

June 28, 2021

Existing evidence suggests that olfactory training is a low-risk intervention that provides clinically relevant and sustained benefit in some PISL patients.

What Is the Best Approach to Prevent Advanced-Stage Pressure Injuries After Pediatric Tracheotomy?

June 16, 2021

An array of complications may arise after a pediatric tracheotomy, and the clinician should be mindful of advanced-stage pressure injuries.

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Should Tranexamic Acid Be Used to Reduce Intraoperative Blood Loss During Rhytidectomy?

May 19, 2021

There is no meaningful advantage to justify using tranexamic acid as a best practice measure in rhytidectomy.

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