Intracapsular tonsillectomy is a safe and effective method for performing tonsillectomy and should be included in future clinical practice guidelines for tonsillectomy.
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.
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.
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.
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.
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.
Genetic Testing Is Appropriate for Some Pediatric Patients with Unilateral Hearing Loss or Single-Sided Deafness
Genetic testing should be considered when the most common nongenetic causes (congenital cytomegalovirus, negative imaging for structural inner ear, or cochlear nerve abnormality) are ruled out as subtle phenotypic manifestations of syndromic hearing loss.
Is the Best Modality to Assess Vocal Fold Mobility in Children Flexible Fiberoptic Laryngoscopy or Ultrasound?
The gold standard in the evaluation of VFI in children is awake flexible fiberoptic laryngoscopy (FFL) but over the past decade, ultrasound (US) has gained increasing attention as a modality for assessing vocal fold mobility in children.
When Should a Retained Tympanostomy Tube Be Removed?
Currently, there are no guidelines for the management of retained tubes in asymptomatic patients. Should they be removed?
What Is the Best Approach to Prevent Advanced-Stage Pressure Injuries After Pediatric Tracheotomy?
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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