在ESS中进行初级扩散CRS的外科充分性:专家共识建议
Daniela Lucidi1, Carlotta Pipolo2, Fabio Pagella3
1Department of Otolaryngology, Ospedale Santa Maria Delle Croci di Ravenna - Bologna University, Ravenna, Italy.
The Laryngoscope
|January 14, 2026
概括
这项研究为原发性扩散性慢性鼻炎 (CRS) 建立了手术指南. 关键建议包括特定的内镜鼻手术 (ESS) 程序,以获得最佳的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
背景情况:
- 初级扩散性慢性鼻炎 (CRS) 的管理通常需要与医疗治疗一起进行手术干预.
- 目前的内镜外科手术 (ESS) 缺乏用于扩散CRS的手术范围的标准化指南.
研究的目的:
- 建立基于共识的指导方针,用于初级扩散CRS中ESS的外科程度.
- 促进扩散性CRS手术方法的标准化.
主要方法:
- 一种经过修改的Delphi技术,涉及33个陈述和由15名ESS专家组成的专家小组.
- 文献审查和共识会议,对外科推进行细化和投票.
主要成果:
- 在34个声明中,共识达到了17个声明.
- 推的手术包括1型中侧大肠静脉切除术,双侧前后肠静脉切除术和DRAF I额头鼻腔切除术.
- 重点是节省粘膜;DRAF III额头鼻腔切除术和常规的状鼻治疗不是一线的方法.
结论:
- 已经建立了关于初级扩散性CRS的适当外科手术方法的共识.
- 这些指导方针旨在将ESS标准化,同时允许临床判断.
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
2.9K
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
2.9K
01:30Epistaxis
511
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...
511