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国际儿科耳鼻喉科小组:I型喉裂诊断与管理的共识指南

International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts.

作者信息

Yeung Jeffrey C, Balakrishnan Karthik, Cheng Alan T L, Daniel Sam J, Garabedian Eréa-Noël, Hart Catherine K, Inglis Andrew F, Leboulanger Nicolas, Liming Bryan J, Moreddu Eric, Nicollas Richard, Russell John D, Rutter Michael J, Sidell Douglas R, Spratley Jorge, Soma Marlene, Thierry Briac, Thompson Dana M, Triglia Jean-Michel, Watters Karen, Wyatt Michelle, Zalzal George H, Zur Karen B, Rahbar Reza

机构信息

Department of Otolaryngology and Communication Enhancement, Boston Children's Hospital, Boston, MA, USA.

Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.

出版信息

Int J Pediatr Otorhinolaryngol. 2017 Oct;101:51-56. doi: 10.1016/j.ijporl.2017.07.016. Epub 2017 Jul 18.

Abstract

INTRODUCTION

The diagnosis and management of type I laryngeal clefts can be controversial and varies across centers and surgeons. Using existing peer-reviewed literature to develop an expert-based consensus will help guide physicians in the treatment of these patients as well as develop research hypotheses to further study this condition.

OBJECTIVE

To provide recommendations for the diagnosis and management of type I laryngeal clefts.

METHODS

Determination of current expert- and literature-based recommendations, via a survey of the International Pediatric Otolaryngology Group, using a modified Delphi method.

SETTING

Multinational, multi-institutional, tertiary pediatric hospitals.

RESULTS

Consensus recommendations include diagnostic workup, medical management, pre-operative, intra-operative and post-operative considerations for type I laryngeal clefts.

CONCLUSIONS

This guide on the diagnosis and management of patients with type I laryngeal clefts is aimed at improving patient care and promoting future hypothesis generation and research to validate the recommendations made here.

摘要

引言

I型喉裂的诊断和治疗可能存在争议,且在不同的中心和外科医生之间存在差异。利用现有的同行评审文献制定基于专家的共识,将有助于指导医生治疗这些患者,并提出研究假设以进一步研究这种疾病。

目的

为I型喉裂的诊断和治疗提供建议。

方法

通过对国际小儿耳鼻咽喉科小组进行调查,采用改良的德尔菲法,确定当前基于专家和文献的建议。

地点

跨国、多机构的三级儿童医院。

结果

共识性建议包括I型喉裂的诊断检查、药物治疗、术前、术中和术后注意事项。

结论

本I型喉裂患者诊断和治疗指南旨在改善患者护理,并促进未来的假设生成和研究,以验证本文提出的建议。

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