优化急性侵入性真菌鼻炎的手术管理
Lalee Varghese1, Regi Kurien1, Lisa Mary Cherian1
1Department of Otorhinolaryngology, Christian Medical College, Vellore, India.
Turkish archives of otorhinolaryngology
|May 24, 2024
概括
针对急性侵入性真菌鼻炎 (AIFS) 的量身定制的手术指南确保有效的脱bridement和最佳功能. 这些保守的方法尽量减少重复手术的需要,从而带来了有利的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 传染性疾病 传染性疾病
背景情况:
- 急性侵入性真菌鼻炎 (AIFS) 需要迅速的手术干预,以获得最佳的结果.
- 制定标准化,保守的外科指导方针对于有效管理AIFS和避免重复脱bridement至关重要.
研究的目的:
- 根据解剖参与,为AIFS提出量身定制的,保守的外科手术指南.
- 评估这些指导方针在预防修复手术和确保有利患者结果方面的有效性.
主要方法:
- 一项追溯观察性研究,涉及150名AIFS患者,这些患者接受了根据拟议协议指导的手术.
- 数据收集包括患者人口统计,并发症,手术,修复手术的需要和整体结果.
- 分析的重点是疾病范围,并发症,COVID-19状态和修订脱bridement的要求之间的相关性.
主要成果:
- 150名患者接受了内镜鼻腔脱bridement; 72%的患者最近感染了COVID-19.
- 61.3%需要额外的手术,15.4%需要修复手术.
- 从COVID-19中康复或没有并发症的患者没有进行修复手术;年龄,性别和并发症不是修复的重要预测因素.
结论:
- 拟议的AIFS手术指南有助于在保持功能的同时进行适当的脱bridement.
- 低的修复手术率和极佳的结果与最小的发病率验证了这些量身定制的手术方法的有用性.
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