耳科学/神经耳科学建议——明智选择运动。
Otology/Neurotology recommendations - Choosing Wisely campaign.
机构信息
Department of Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Canada.
Department of Otolaryngology - Head and Neck Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, M-Wing, M1-102, Toronto, ON, M4N 3M5, Canada.
出版信息
J Otolaryngol Head Neck Surg. 2019 Nov 8;48(1):60. doi: 10.1186/s40463-019-0381-4.
The Choosing Wisely Canada Campaign aims to raise awareness amongst physicians and patients regarding unnecessary tests and treatment. The otology/neurotology subspecialty group within the Canadian Society of Otolaryngology - Head & Neck Society developed a list of five common otologic presentations to help physicians deliver high quality effective care: (1) Don't order specialized audiometric and vestibular testing to screen for peripheral vestibular disease, (2) Don't perform computed tomography or blood work in the evaluation of sudden sensorineural hearing loss, (3) Don't perform auditory brain responses (ABR) in patients with asymmetrical hearing loss, (4) Don't prescribe oral antibiotics as first line treatment for patients with painless otorrhea associated with tympanic membrane perforation or tympanostomy tube, and (5) Don't perform particle repositioning maneuvers without a clinical diagnosis of posterior canal benign paroxysmal positional vertigo.
加拿大明智选择运动旨在提高医生和患者对不必要的检查和治疗的认识。加拿大耳鼻喉科学会耳科学/神经耳科学分会制定了一份常见耳科表现清单，以帮助医生提供高质量的有效护理：（1）不要为筛查外周前庭疾病而专门进行听力和前庭测试，（2）不要在突发性感觉神经性听力损失的评估中进行计算机断层扫描或血液检查，（3）不要对听力不对称的患者进行听觉脑干反应（ABR），（4）不要在鼓膜穿孔或鼓膜造口管相关无痛性耳漏的患者中开口服抗生素作为一线治疗，（5）不要在没有临床诊断后颅良性阵发性位置性眩晕的情况下进行颗粒复位运动。
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