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鼓膜切开术-年轻耳鼻喉科医生的视觉指南。

Tympanostomy Tubes-A Visual Guide for the Young Otolaryngologist.

机构信息

Departments of Otolaryngology, Head & Neck Surgery and Pediatrics, 12314Lewis Katz, School of Medicine at Temple University, Philadelphia, PA, USA.

出版信息

Ear Nose Throat J. 2020 Nov;99(1_suppl):8S-14S. doi: 10.1177/0145561320929885. Epub 2020 Jun 18.

DOI:10.1177/0145561320929885
PMID:32551962
Abstract

OBJECTIVES

To illustrate some of the common dilemmas in tympanostomy tube care and describe time-tested ways to address them.

METHODS

Computerized literature review.

RESULTS

Issues including the correct diagnosis of recurrent acute otitis media, tympanostomy tube types and techniques for tube placement, management of tube clogging and otorrhea, and methods for tube removal and patching are illustrated.

CONCLUSIONS

Tympanostomy tube placement is the most common surgery performed in children requiring general anesthesia. While some elements of tympanostomy tube care have been addressed in clinical studies, much of clinical practice is guided by shared experience.

摘要

目的

举例说明鼓膜置管护理中的一些常见难题,并描述久经考验的解决方法。

方法

计算机文献检索。

结果

文中举例说明了一些问题,包括复发性急性中耳炎的正确诊断、鼓膜置管类型和置管技术、管堵塞和耳漏的处理,以及管取出和修补的方法。

结论

鼓膜置管是全麻下儿童最常见的手术。虽然一些鼓膜置管护理的内容已在临床研究中得到解决,但大部分临床实践是基于经验共享。

相似文献

1
Tympanostomy Tubes-A Visual Guide for the Young Otolaryngologist.鼓膜切开术-年轻耳鼻喉科医生的视觉指南。
Ear Nose Throat J. 2020 Nov;99(1_suppl):8S-14S. doi: 10.1177/0145561320929885. Epub 2020 Jun 18.
2
Clinical Practice Guideline: Tympanostomy Tubes in Children (Update).临床实践指南:儿童鼓膜切开术(更新)。
Otolaryngol Head Neck Surg. 2022 Feb;166(1_suppl):S1-S55. doi: 10.1177/01945998211065662.
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Executive Summary of Clinical Practice Guideline on Tympanostomy Tubes in Children (Update).儿童鼓膜切开术临床实践指南(更新版)执行摘要。
Otolaryngol Head Neck Surg. 2022 Feb;166(2):189-206. doi: 10.1177/01945998211065661.
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Clinical practice guideline: Tympanostomy tubes in children.临床实践指南:儿童鼓膜置管术。
Otolaryngol Head Neck Surg. 2013 Jul;149(1 Suppl):S1-35. doi: 10.1177/0194599813487302.
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Tympanostomy Tubes or Medical Management for Recurrent Acute Otitis Media.鼓膜切开术置管或药物治疗复发性急性中耳炎。
N Engl J Med. 2021 May 13;384(19):1789-1799. doi: 10.1056/NEJMoa2027278.
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Tympanostomy Tube Controversies and Issues: State-of-the-Art Review.鼓膜切开术管的争议和问题:最新综述。
Ear Nose Throat J. 2020 Nov;99(1_suppl):15S-21S. doi: 10.1177/0145561320919656. Epub 2020 Apr 13.
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Need for Tympanostomy Tubes in Children With Recurrent Acute Otitis Media Without Middle Ear Effusion.小儿复发性急性中耳炎而无中耳积液行鼓膜切开术置管的必要性。
Otolaryngol Head Neck Surg. 2023 Sep;169(3):694-700. doi: 10.1002/ohn.299. Epub 2023 Feb 5.
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Care of the child with tympanostomy tubes.
Pediatr Clin North Am. 1996 Dec;43(6):1183-93. doi: 10.1016/s0031-3955(05)70513-7.
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Factors associated with retained tympanostomy tubes a case-controlled study.与保留鼓膜置管相关的因素:一项病例对照研究。
Int J Pediatr Otorhinolaryngol. 2020 Nov;138:110317. doi: 10.1016/j.ijporl.2020.110317. Epub 2020 Aug 15.
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Otorrhea after insertion of silver oxide-impregnated silastic tympanostomy tubes.插入含氧化银硅橡胶鼓膜造孔管后的耳漏
Arch Otolaryngol Head Neck Surg. 1999 Apr;125(4):446-50.

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