Bas Murat
Department of Otolaryngology, Technische Universität München, Germany.
GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016 Dec 15;15:Doc02. doi: 10.3205/cto000129. eCollection 2016.
Unfortunately, the treatment of numerous otolaryngological diseases often lacks of evidence base because appropriate studies are missing. Whereas sufficient high-quality trials exist for the specific immunotherapy of allergic rhinitis and in a limited measure also for the angiotensin-converting enzyme inhibitor induced angioedema, the evidence for Menière's disease or for pharmacotherapy of postoperative laryngeal edema is rather poor. This contribution will discuss the trial situation and evidence of the respective diseases.
不幸的是,由于缺乏适当的研究,众多耳鼻喉科疾病的治疗往往缺乏循证依据。虽然针对过敏性鼻炎的特异性免疫疗法有足够的高质量试验,在一定程度上针对血管紧张素转换酶抑制剂诱发的血管性水肿也有相关试验,但关于梅尼埃病或术后喉水肿药物治疗的证据相当匮乏。本文将讨论这些疾病各自的试验情况和证据。