Bhattacharyya Neil, Gubbels Samuel P, Schwartz Seth R, Edlow Jonathan A, El-Kashlan Hussam, Fife Terry, Holmberg Janene M, Mahoney Kathryn, Hollingsworth Deena B, Roberts Richard, Seidman Michael D, Prasaad Steiner Robert W, Tsai Do Betty, Voelker Courtney C J, Waguespack Richard W, Corrigan Maureen D
1 Department of Otolaryngology, Harvard Medical School, Brigham and Women's Hospital, Boston, Massachusetts, USA.
2 Department of Otolaryngology, School of Medicine and Public Health, University of Colorado, Aurora, Colorado, USA.
Otolaryngol Head Neck Surg. 2017 Mar;156(3):403-416. doi: 10.1177/0194599816689660.
The American Academy of Otolaryngology-Head and Neck Surgery Foundation has published a supplement to this issue of Otolaryngology-Head and Neck Surgery featuring the "Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)." To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 14 recommendations developed emphasize diagnostic accuracy and efficiency, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing, and increasing the appropriate therapeutic repositioning maneuvers. An updated guideline is needed due to new clinical trials, new systematic reviews, and the lack of consumer participation in the initial guideline development group.
美国耳鼻咽喉-头颈外科学会基金会出版了本期《耳鼻咽喉-头颈外科》的增刊，其中刊载了“临床实践指南：良性阵发性位置性眩晕（更新版）”。为协助实施指南建议，本文总结了其基本原理、目的及关键行动声明。所制定的14项建议着重于诊断的准确性和效率、减少前庭抑制药物的不当使用、减少辅助检查的不当使用以及增加适当的治疗性复位手法。由于开展了新的临床试验、进行了新的系统评价，且最初的指南制定小组缺乏消费者参与，因此需要一份更新的指南。
