What's New | Decker

Ultrasound is being increasingly used in the diagnosis of peritonsillar abscesses
SIST score (septae+ irregular wall + solid components (1 point each)= TGDC) may be used to distinguish thyroglossal duct cysts from dermoid cysts on ultrasonography
Quantiferon-TB testing may distinguish non-Tuberculosis mycobacterial infection from tuberculosis mycobacterial infections
Sirolimus is used in unresectable or difficult to resect microcystic lymphatic malformations

Virtual surgical planning: computer assisted reconstructive planning or virtual surgical planning (VSP) involves virtually mapping the planned surgical site and defect, producing cutting guides for use when actively harvesting and insetting the osseous free flap and pre-shaping of the reconstruction plates
Prefabricated fibulas with dental implants - this novel surgical technique involves the placing the dental implants into the fibula several weeks prior to harvesting the fibula to allow for additional osseointegration
Jaw-in-a-day - this technique involves complete reconstruction and dental implantation / rehabilitation in a single surgery, and requires precise virtual surgical planning but can speed up dental rehabilitation by several months
Tissue-engineered vascularized bone graft - experimental technique where 3D-CT and computer-aided design techniques were used to create a titanium mesh cage filled with bone blocks and infiltrated with BMP-7, then implanted into the latissimus dorsi muscle and is transferred weeks later as a prefabricated free flap

Antidepressants have clinical utility for many psychiatric conditions, including major depressive disorder and anxiety disorders.
Multiple classes of antidepressants are currently FDA-approved, including selective serotonin reuptake inhibitors, serotonin norepinephrine reuptake inhibitors, tricyclic antidepressants, and antidepressants with multiple mechanisms of action.
Adverse effects from antidepressants typically occur earlier than symptom resolution and may result in nonadherence.
Patients should be counseled on the timeline of onset of therapeutic effects.
Factors such as side effect profile, age, and past history of response guide the selection of antidepressants.

Use of ECG monitoring to assess the neonate’s heart rate
Use food grade plastic bag placed to level of neck to aid in keeping infant warm
Initiating resuscitation with oxygen levels of 21-30% is recommended while high oxygen levels of 65-100% are not recommended
Two thumb encircling hands technique is recommended over lower 1/3 of sternum compressing at 1/3 of the A-P diameter
Routine intubation and suctioning is no longer recommended for all cases of meconium

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, including migraine, although the evidence remains mixed for chronic migraine prophylaxis.
Neurostimulation has emerged as an effective treatment modality for migraine, with both noninvasive and minimally invasive options available.
Safe, effective, and noninvasive neurostimulation therapies available for migraine include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura.
Occipital nerve stimulation may be effective for some patients with intractable chronic migraine, although the evidence is mixed and procedure-related complications are common.
Noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation are emerging treatment options that may be useful for both acute and prophylactic treatment of episodic and chronic migraine.

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, including migraine, although the evidence remains mixed for chronic migraine prophylaxis.
Neurostimulation has emerged as an effective treatment modality for migraine, with both noninvasive and minimally invasive options available.
Safe, effective, and noninvasive neurostimulation therapies available for migraine include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura.
Occipital nerve stimulation may be effective for some patients with intractable chronic migraine, although the evidence is mixed and procedure-related complications are common.
Noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation are emerging treatment options that may be useful for both acute and prophylactic treatment of episodic and chronic migraine.

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, including migraine, although the evidence remains mixed for chronic migraine prophylaxis.
Neurostimulation has emerged as an effective treatment modality for migraine, with both noninvasive and minimally invasive options available.
Safe, effective, and noninvasive neurostimulation therapies available for migraine include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura.
Occipital nerve stimulation may be effective for some patients with intractable chronic migraine, although the evidence is mixed and procedure-related complications are common.
Noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation are emerging treatment options that may be useful for both acute and prophylactic treatment of episodic and chronic migraine.

Peripheral nerve and sphenopalatine ganglion blocks are a safe, effective treatment option for headache disorders, including migraine, although the evidence remains mixed for chronic migraine prophylaxis.
Neurostimulation has emerged as an effective treatment modality for migraine, with both noninvasive and minimally invasive options available.
Safe, effective, and noninvasive neurostimulation therapies available for migraine include transcutaneous supraorbital nerve stimulation for prophylaxis and single-pulse transcranial magnetic stimulation for the acute treatment of migraine with aura.
Occipital nerve stimulation may be effective for some patients with intractable chronic migraine, although the evidence is mixed and procedure-related complications are common.
Noninvasive vagus nerve stimulation and implanted sphenopalatine ganglion stimulation are emerging treatment options that may be useful for both acute and prophylactic treatment of episodic and chronic migraine.

Pediatrics