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Practice Focus

Intrathecal Gd-MRC demonstrated to be the most useful diagnostic method to detect CSF rhinorrhea

June 12, 2023

A multi-database search comparing the diagnostic accuracy among seven radiological methods in analyzing CSF rhinorrhea showed Gd-MRC to be significantly superior to other imaging methods regarding sensitivity and accuracy.

Patients with Trisomy 13 and 18 Are Diverse in Diagnoses, Frequently Require Otolaryngologic Care

June 12, 2023

Patients with a diagnosis of trisomy 13 or 18 often require multidisciplinary management, and the range of care spans the breadth of otolaryngology. Although T13 and T18 are considered mostly universally fatal, improvements in cardiac surgery have increased survival rates.

Travel Distance Alone Not Associated with Worsened Two-Year Survival in Patients with Newly Diagnosed Head and Neck Cancer

June 12, 2023

Socioeconomic and patient factors impact two-year survival in patients with newly diagnosed head and neck cancer more than travel distance alone.

Chinese Herbal Medicine Added to Olfactory Training Confers Limited Functional Benefit to Patients with Traumatic Anosmia

June 12, 2023

The controversial effects of Guizhi decoction added to olfactory training in studies of patients who had been unresponsive to steroid or zinc treatment confers limited functional benefit to patients with traumatic anosmia.

Mastoid Obliteration Could Be Effective in Cholesteatoma Surgery, but More Data Are Needed

June 12, 2023

Mastoid obliteration in cholesteatoma surgery tries to combine the advantages of two traditional surgical techniques: canal wall up, which keeps the posterior wall of the outer ear canal intact, and canal wall down, in which the posterior wall is removed, and helps in reconstructing the posterior wall.

Reduced Aftercare Treatment Schedule for Cochlear Implantation Is Efficient and Effective

June 12, 2023

Although American Academy of Audiology guidelines call for six to eight aftercare appointments, this criterion can strain in-clinic resources and pose hardships. Reducing to a four-appointment EBM approach delivered efficient and effective audiological aftercare to cochlear implant recipients in the first year.

How to: Positioning for Middle Cranial Fossa Repair of Superior Semicircular Canal Dehiscence

June 12, 2023

This novel method of positioning the patient for SCD repair allows for optimal head rotation, requires less set-up and patient manipulation, does not require surgical pins, and allows the surgeon to maintain an ergonomically ideal posture during microdissection.

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Complex Thyroid/Parathyroid Surgery Certification Means Better Education for Surgeons

June 12, 2023

There are otolaryngologists who focus their surgical practices on patients with thyroid/parathyroid diseases; some have completed fellowships while others have not, and continuing board certification activities aren’t currently focused on this content. These issues, among others, were part of the genesis of the new focused practice designation.

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Novel Bioabsorbable Plate Associated with Lower Leak Risk in Patients Receiving Endoscopic Skull Base Repair

May 26, 2023

Reconstructive technique, extent of resection, and patient body mass index (BMI) significantly contribute to cerebrospinal fluid leak rate in endoscopic repair of skull base defects.

New Findings Support Use of Cemiplimab as Neoadjuvant Therapy in Patients with Resectable Cutaneous Squamous Cell Carcinoma

May 26, 2023

Neoadjuvant therapy with cemiplimab was associated with a pathological complete response in a high percentage of patients with resectable cutaneous squamous cell carcinoma.

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