关于手术治疗初级扩散型2-主导性慢性鼻炎的专家共识
Manon Blauwblomme1, Christos Georgalas2,3, Shahzada Ahmed4
1Department of Otorhinolaryngology, Ghent University Hospital, Ghent, Belgium.
International forum of allergy & rhinology
|February 10, 2025
概括
这项研究为2型慢性鼻炎 (CRS) 提供了手术指南. 在管理CRS手术的45个陈述上达成共识,强调完整的鼻手术.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 鼻科 鼻科是指鼻科的专家.
- 手术创新 在外科创新.
背景情况:
- 慢性鼻炎 (CRS) 提出了手术管理的挑战,特别是2型CRS.
- 缺乏明确的指导方针使得2型CRS的治疗变得复杂.
- 本综述涉及对初级扩散型2-主导CRS的手术策略.
研究的目的:
- 建立基于共识的指导方针,用于手术治疗原发性扩散型2-主导CRS.
- 定义CRS手术的手术前和手术期间的策略.
- 为临床决策提供证据和专家意见.
主要方法:
- 由国际专家共识小组使用的修改后的Delphi方法.
- 文献综述,其次是67个陈述的制定和代改进.
- 协商一致会议于2023年10月在希腊桑托里尼举行,以最终确定建议.
主要成果:
- 在68个提案中的45个声明达成共识.
- 建议涵盖CRS手术的指示,时间,程度和手术内管理.
- 重点是完整的鼻手术,包括新鼻腔的创建和多/粘膜的清除.
结论:
- 45个共识陈述为初级扩散型2-主导CRS的外科治疗提供了指导.
- 准则结合了当前的证据和专家意见.
- 建议支持在适当时进行单克隆抗体治疗之前进行完整的鼻外科手术.
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