Implementing a Protocol to Reduce Opioid Prescriptions in Military Otolaryngology: A Quality Improvement Initiative.

Introduction: To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP).

Materials And Methods: Data from 58 adult patients were retrieved by retrospective chart review (19 septoplasties and 10 rhinoplasties before initiating PROP in September 2018 and 21 septoplasties and 8 rhinoplasties after PROP). We selected consecutive septoplasties and rhinoplasties, at which time a new discharge order set was implemented.

Postoperative CT of the Mandible Following Trauma: Review of Normal Appearances and Common Complications.

Rationale And Objectives: Surgeons aim to restore occlusion and jaw function to baseline status for patients with mandibular fractures using either closed treatment or reduction and fixation.

Materials And Methods: Occlusion is defined as the relationship between the maxillary and mandibular teeth as they approach each other.

Results: Radiologists should be familiar with the goals of repair to help identify which treatment is adequate as well as to diagnose potential complications.

Postoperative CT of the Midfacial Skeleton After Trauma: Review of Normal Appearances and Common Complications.

Objective: The objective of this article is to describe the CT appearance of the midfacial skeleton after surgical repair of posttraumatic Le Fort, nasoorbitoethmoidal (NOE), and frontal sinus fractures. Several of the more commonly encountered complications will also be described.

Conclusion: Surgery after midfacial trauma is aimed at restoring both form and function.

Postoperative CT of the Orbital Skeleton After Trauma: Review of Normal Appearances and Common Complications.

Objective: The purpose of this article is to describe both the expected and unexpected imaging features of posttraumatic defects of the orbital skeleton after surgical repair.

Conclusion: The goal of surgery is to restore the preinjury orbital anatomy to improve function and prevent enophthalmos. Radiologists need to be cognizant of the more frequently encountered operative procedures used for orbital fracture repair, the desired goals of treatment, and common complications.

Computed tomography imaging manifestations of commonly used materials in posttraumatic craniofacial repair.

An expansive array of materials exists within the armamentarium of craniofacial surgeons. For patients undergoing repair of posttraumatic injuries, computed tomography is the imaging modality of choice in the postoperative setting. Therefore, radiologists will invariably encounter implants constructed with various materials, depending on the surgeon's preference.

Bone tissue substitutes and replacements.

Purpose Of Review: A host of synthetically engineered materials have come to market in the past three decades, changing the way surgical reconstruction is performed. Although tissue engineering holds the promise of true tissue replacement, this technology is years away from true clinical use. In the interim, understanding of the current synthetic bone substitutes will be reviewed to provide the clinician with an updated understanding of the different classes along with advantages, disadvantages and novel applications.