Debate remains over the safest and most definitive operative approach: the Caldwell-Luc (CWL) approach, the endoscopic sinus surgery (ESS) approach, or a combination of the two.
Is Endolymphatic Sac Surgery Beneficial for Ménière’s Disease?
ESS can be considered in patients that are refractory to medical management as a non-destructive option, as risk to hearing is low.
What Is the Role of Laryngoscopy in Angioedema Isolated to the Lips, Without Laryngeal Symptoms?
Patients with isolated face and lip angioedema, with no signs/symptoms of laryngeal and pharyngeal involvement, can be individually assessed for the need of laryngoscopy.
Are Alloplastic Implants Safe in Rhinoplasty?
Available data suggest that complication rates of alloplastic implants are similar to those seen with autologous costal cartilage and may be acceptable in select patient populations.
What Is the Optimal Timing for Tracheostomy in Intubated Patients?
There are no data to suggest that delayed tracheostomy offers a morbidity or mortality advantage.
Is Primary Radiotherapy an Acceptable Treatment Modality for Verrucous Carcinoma of the Larynx?
The existing literature still suggests that the highest locoregional control and survival rates are achieved with surgery.
Postoperative Opioid Requirements Are Low for Rhinoplasty and Septoplasty Patients
Both septoplasty and rhinoplasty are associated with mostly mild pain, and postoperative opioid requirements are quite low.
When Is Surgical Intervention Indicated for Vocal Fold Leukoplakia?
Management remains controversial because there is no universally accepted consensus on the threshold for surgical intervention, appropriate treatment strategy, frequency of surveillance, and ablative versus excisional management
How Should DVT Chemoprophylaxis Be Applied Following Vestibular Schwannoma Resection?
Chemoprophylaxis should be utilized in the postoperative period for vestibular schwannoma surgery.
What Is The Optimal Duration of Antibiotic Prophylaxis in Clean-Contaminated Head and Neck Surgery?
Postoperative antibiotic prophylaxis in clean-contaminated head and neck free flap reconstruction cases is most likely sufficient and recommended for use less than 24hours from wound closure.
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