The timing of tracheostomy tube changes should be tailored to each individual case.
Objective Testing for Patients with Suspected Laryngopharyngeal Reflux Requires a More Specific Approach
Objective testing for patients with suspected LPR is indicated if the patient presents with typical alarm symptoms, after empiric treatment fails to improve symptoms, or to ensure the need for long-term therapy or surgical interventions.
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.
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.
The Role of Pulmonary Function Testing Prior to Partial Laryngeal Surgery
Laryngeal conservation surgery includes open and endoscopic approaches that address select malignant laryngeal lesions to achieve local control while preserving function.
What Is the Role of Laryngeal Reinnervation Surgery for Adults with Unilateral Vocal Fold Paralysis?
The primary advantage of laryngeal reinnervation is prevention of denervation atrophy, which limits the long-term voice outcomes of static procedures. Recovery or maintenance of muscle tone is expected to lead to more symmetric vibratory masses, symmetric mucosal wave propagation, and improved voice quality.
Is Tranexamic Acid Effective for Hemostasis During Endoscopic Sinus Surgery?
TRIO Best Practice articles are brief, structured reviews designed to provide the busy clinician with a handy outline and reference for day-to-day clinical decision making. The ENTtoday summaries below include […]
Is Percutaneous Tracheostomy Safe?
The current literature unequivocally demonstrates that endoscopic percutaneous dilatational tracheostomy is at least as safe as open surgical tracheostomy.
Systemic Use of Bevacizumab for Recurrent Respiratory Papillomatosis: Who, What, Where, When, and Why?
Recurrent respiratory papillomatosis (RRP) is a potentially lethal disease caused by the human papillomavirus (HPV) and characterized by recurrent papillomas in the aerodigestive tract.
What Is the Optimal Imaging Modality for Parathyroid Adenoma?
Ultrasound, scintigraphy, 4D CT, and MRI all demonstrate utility when evaluating a patient with primary hyperparathyroidism.
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