American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
Otolaryngol Head Neck Surg. 2013 Apr;148(4):534-6. doi: 10.1177/0194599813479577. Epub 2013 Feb 28.
In February 2013, the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) released its list of 5 recommendations of diagnostic and therapeutic interventions that physicians and patients should question, as part of the American Board of Internal Medicine (ABIM) Foundation's Choosing Wisely campaign. This commentary outlines the impetus for the AAO-HNSF to join the campaign, our list of 5 recommendations, how they were developed, and our future involvement with the campaign. The AAO-HNSF's 5 recommendations are (1) don't order a computed tomography (CT) scan of the head/brain for sudden hearing loss, (2) don't prescribe oral antibiotics for uncomplicated acute tympanostomy tube otorrhea, (3) don't prescribe oral antibiotics for uncomplicated acute external otitis, (4) don't routinely obtain radiographic imaging for patients who meet diagnostic criteria for uncomplicated acute rhinosinusitis, and (5) don't obtain CT or magnetic resonance imaging in patients with a primary complaint of hoarseness prior to examining the larynx.
2013 年 2 月，美国耳鼻喉科学-头颈外科学基金会（AAO-HNSF）发布了其作为美国内科医师学院基金会明智选择活动（Choosing Wisely campaign）的一部分，对医生和患者应质疑的诊断和治疗干预的 5 项推荐的列表。本评论概述了 AAO-HNSF 参与该活动的动机、我们的 5 项推荐、它们是如何制定的以及我们未来对该活动的参与。AAO-HNSF 的 5 项推荐是：（1）不要对突发性听力损失进行头部/脑部计算机断层扫描（CT）；（2）不要为单纯性急性鼓膜切开术置管耳漏开口服抗生素；（3）不要为单纯性急性外耳炎开口服抗生素；（4）不要为符合单纯性急性鼻-鼻窦炎诊断标准的患者常规进行影像学检查；（5）在检查喉部之前，不要对主诉声音嘶哑的患者进行 CT 或磁共振成像检查。
