临床实践指南:慢性鼻炎的手术治疗
Jennifer J Shin1, Meghan Wilson2, Margo McKenna3
1Harvard Medical School, Harvard Medical School, Boston, Massachusetts, USA.
概括
本指南提供基于证据的建议,用于手术治疗成人慢性鼻炎 (CRS). 它强调准确的诊断,患者选择和适当的外科手术技术,以改善CRS患者的治疗结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在外科手术实践中.
- 基于证据的医学基于证据的医学.
背景情况:
- 慢性鼻炎 (CRS) 显著影响成年人的生活质量.
- 对于CRS的外科治疗,需要明确的指导方针来提供最佳的患者护理.
- 现有的做法可能缺乏标准化,需要基于证据的建议.
研究的目的:
- 确定CRS外科管理中的质量改进机会.
- 为临床医生提供可靠的,基于证据的CRS手术建议.
- 引导耳鼻喉科医生管理成人CRS患者,包括手术候选人和内镜鼻手术.
主要方法:
- 使用美国耳鼻喉科 - 头部和部外科基金会的临床实践指南开发手册 (3版) 开发.
- 方法包括数据评估,主题优先级和关键行动声明 (KAS) 的开发.
- 指导小组由耳鼻喉科医生,鼻科医生,高级实践提供者和消费者代表组成.
主要成果:
- 根据特定标准,强烈推验证CRS诊断和评估外科候选人.
- 建议不要在没有性泄漏的情况下进行常规的抗生素治疗,也不应采用一种适合所有人的医疗治疗先决条件.
- 关于确定手术候选人的指导,患者咨询,CT扫描使用,手术程度,术后护理和结果评估.
结论:
- 强调准确的诊断和患者选择慢性鼻炎 (CRS) 手术.
- 建议量身定制的医疗和手术方法,避免标准化方案.
- 强调患者教育,适当的手术技术和持续的术后随访对CRS管理的重要性.
相关概念视频
01:23Chronic Pharyngitis
5.3K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
5.3K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.7K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.7K
01:29Suctioning the Nasopharyngeal Airway
1.0K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
1.0K
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
4.3K
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
4.3K
01:24Cystic Fibrosis: Management
229
Cystic fibrosis (CF) is an autosomal recessive disorder that predominantly affects individuals of Northern European descent, occurring at a rate of 1 in 3500. It is caused by a genetic mutation in a gene on chromosome 7, most commonly the ΔF508 mutation, that codes for the cystic fibrosis transmembrane conductance regulator (CFTR) protein. This results in thicker mucus secretions and obstruction pathologies in multiple organs, including the lungs and sinuses.
Sinus disease and chronic...
Sinus disease and chronic...
229
01:30Epistaxis
265
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
265