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弗雷综合征的伦理学:确保同意是真正知情的。

Ethics of Frey syndrome: ensuring that consent is truly informed.

机构信息

Department of Otolaryngology - Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, Michigan, USA.

出版信息

Head Neck. 2010 Aug;32(8):1125-8. doi: 10.1002/hed.21443.

Abstract

Frey syndrome is a widely recognized sequela of parotidectomy with a variable prevalence dependent upon diagnostic criteria. There exists a multitude of strategies for both prevention and treatment. Surgeons are obligated to engage patients in a frank and open discussion of the operative risks, benefits, and alternatives. Due to uncertainty regarding the significance of Frey syndrome postoperatively, the process of informed consent and preoperative decision-making pose a potential ethical quandary. This commentary is designed to heighten the awareness of the preoperative informed consent process by dissecting the ethical tenets underlying these patient encounters using Frey syndrome as an example, ensuring that patients are granted the opportunity to participate in their own care in accordance with the concept of individual autonomy.

摘要

Frey 综合征是腮腺切除术的一种广泛认可的后遗症,其发病率因诊断标准而异。目前有多种预防和治疗策略。外科医生有义务与患者坦诚地讨论手术风险、益处和替代方案。由于术后 Frey 综合征的意义不确定,知情同意和术前决策的过程带来了潜在的伦理困境。本评论旨在通过以 Frey 综合征为例剖析这些患者遇到的伦理原则,提高术前知情同意过程的认识,确保患者有机会根据个人自主的概念参与自己的护理。

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