Weight Loss Drugs Can Pose Issues for Otolaryngology Procedures but Might Help Patients with Sleep Apnea
The weight loss drug craze of the last couple of years brings important considerations for otolaryngologists, including how to manage gastric emptying before procedures for patients taking the medications and the possibility of the drugs being a new option for obstructive sleep apnea patients. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - April 12, 2024 Category: ENT & OMF Authors: Thomas R. Collins Tags: General Otolaryngology Otology/Neurotology Practice Focus Sleep Medicine TRIO Best Practices weight loss Source Type: research

Inconsistency in Findings that Intraoperative Electrocochleography Improves Hearing Preservation in Cochlear Implantation
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. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - January 6, 2024 Category: ENT & OMF Authors: Scott M. Kelly, Ana H. Kim, MD, and Anil K. Lalwani, MD Tags: Otology/Neurotology Practice Focus TRIO Best Practices cochlear implantation Electrocochleography Source Type: research

Laryngeal Reinnervation Is Recommended Surgical Intervention for Pediatric Unilateral Vocal Fold Paralysis
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. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - January 6, 2024 Category: ENT & OMF Authors: Kirsten Meenan, MD, Pranati Pillutla, MD, and Dinesh K. Chhetri, MD Tags: Pediatric Pediatric Otolaryngology Practice Focus TRIO Best Practices Pediatric Unilateral Vocal Fold Paralysis Source Type: research

Determining Appropriate Objective Testing for Patients with Suspected Laryngopharyngeal Reflux
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. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - January 6, 2024 Category: ENT & OMF Authors: Randy W. Lesh, MD, Kavya K. Pai, MD, and Kenneth W. Altman, MD, PhD Tags: Laryngology Practice Focus TRIO Best Practices Laryngopharyngeal reflux Source Type: research

What is the Role of Tranexamic Acid in Septorhinoplasty?
The use of tranexamic acid to reduce intraoperative bleeding may have applications in septorhinoplasty. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 27, 2023 Category: ENT & OMF Authors: Faith Ricca, BS, and Jeffrey H. Spiegel, MD Tags: Facial Plastic/Reconstructive Practice Focus TRIO Best Practices reconstructive surgery septorhinoplasty Tranexamic Acid Source Type: research

Is Hyperbaric Oxygen Effective in the Treatment of Sudden Sensorineural Hearing Loss?
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. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 27, 2023 Category: ENT & OMF Authors: Isaac L. Alter, AB, Mickie Hamiter, MD, and Anil K. Lalwani, MD Tags: Otology/Neurotology Practice Focus TRIO Best Practices hearing loss hyperbaric oxygen therapy sudden sensorineural hearing loss Source Type: research

Is There a Role for Adjuvant Therapy in Patients with Large Juvenile Nasopharyngeal Angiofibromas?
Adjuvant therapy may have a limited role in select patients with advanced JNAs to achieve acceptable outcomes while minimizing serious morbidity and mortality. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 27, 2023 Category: ENT & OMF Authors: Charles A. Riley, MD, and David A. Gudis, MD Tags: Pediatric Pediatric Otolaryngology Practice Focus TRIO Best Practices adjuvant therapy Juvenile nasopharyngeal angiofibromas Source Type: research

Repair of Type 1 Laryngeal Cleft
There is significant debate in the literature on diagnosis and the ideal approach to treatment when sequelae are present with congenetial laryngal cleft. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 3, 2023 Category: ENT & OMF Authors: Claire M. Lawlor, MD, and Sukgi S. Choi, MD, MBA Tags: Pediatric Practice Focus TRIO Best Practices laryngeal cleft surgery Source Type: research

Are Simulated or 3D-Printed Temporal Bones as Useful for Training as Cadaveric Bones?
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. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 3, 2023 Category: ENT & OMF Authors: Alan G. Micco, MD Tags: Otology/Neurotology Practice Focus TRIO Best Practices head and neck surgery physician training Source Type: research

Elexacaftor/tezacaftor/ivacaftor May be Effective in Treating Sinonasal Disease in Patients with Cystic Fibrosis
The combination of lexacaftor/tezacaftor/ivacaftor has been shown to have positive effects on multiple organ systems. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - October 3, 2023 Category: ENT & OMF Authors: Tyler B. Merrill, MD, Jonathan Tyes, BS, and Troy D. Woodard, MD Tags: Practice Focus Rhinology TRIO Best Practices Cycstic Fibrosis Sinonasal Disease Source Type: research

Is “See One, Do One, Teach One” the Best Way to Learn Procedures?
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.” (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - August 18, 2023 Category: ENT & OMF Authors: Taylor G. Lackey, MD, and Mona M. Abaza, MD, MS Tags: TRIO Best Practices medical residents residency training Source Type: research

Videofluoroscopic Swallow Study and Fiberoptic Endoscopic Evaluation of Swallow —Which Is Superior?
Accurate assessment of the safety of oral feeds is essential in the pediatric population to avoid the risks of unsafe feeding or unnecessary restrictions. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - August 18, 2023 Category: ENT & OMF Authors: CM Lawlor, MD, and Sukgi S. Choi, MD, MBA Tags: Pediatric Practice Focus TRIO Best Practices swallowing function Source Type: research

Why Wait Until After Surgery? The Case for Pre-habilitation in Head and Neck Cancer Care
Multimodal pre-habilitation and rehabilitation have been an important topics in the literature, aiming to combat modifiable patient factors like sarcopenia, malnutrition, and psychological status. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - August 18, 2023 Category: ENT & OMF Authors: By Marna A. List, MD, Jason P. Calligas, MD, John Pang, MD, Ameya A. Asarkar, MD, and Cherie-Ann O. Nathan, MD Tags: Head and Neck Practice Focus TRIO Best Practices cancer care Source Type: research

When is the Optimal Time to Reduce Pediatric Nasal Bone Fractures?
Historically, nasal fractures have been reduced within seven days as pediatric patients are thought to undergo rapid osseous healing. Delayed nasal fracture reduction, however, allows soft tissue edema to abate, potentially aiding intraoperative result assessment. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - August 18, 2023 Category: ENT & OMF Authors: By Sheng Zhou, MD, Marta Kulich, MD, Christopher Pool, MD, Javan Nation, MD, Shelby Leuin, MD, Jeffrey A. Koempel, MD, MBA, and Vijay A. Patel, MD Tags: Pediatric Practice Focus TRIO Best Practices nasal bone fracture Source Type: research

Prophylactic Antibiotics Should Be Used Conservatively in Setting Mandibular Fractures
The current literature, including meta-analyses and systematic reviews incorporating data from 54 separate studies, suggests that prophylactic antibiotics be used conservatively in the setting of mandibular trauma. (Source: ENTtoday - TRIO Best Practices)
Source: ENTtoday - TRIO Best Practices - July 19, 2023 Category: ENT & OMF Authors: Christopher Harryman, MD, Stephen Park, MD, and Samuel Oyer, MD Tags: Laryngology Practice Focus TRIO Best Practices antibiotics mandible fractures Source Type: research