国际儿科耳鼻喉科学组（IPOG）共识建议：小儿患者气管造口处狭窄的管理。
International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Management of suprastomal collapse in the pediatric population.
机构信息
Department of Otolaryngology/Head and Neck Surgery, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Carver College of Medicine, Department of Otolaryngology-Head & Neck Surgery, University of Iowa, Iowa City, IA, USA.
出版信息
Int J Pediatr Otorhinolaryngol. 2020 Dec;139:110427. doi: 10.1016/j.ijporl.2020.110427. Epub 2020 Oct 13.
INTRODUCTION
Suprastomal Collapse (SuStCo) is a common complication of prolonged tracheostomy in children. There is a paucity of literature on this subject, especially regarding how to manage significant suprastomal collapse that prevents safe decannulation.
OBJECTIVE
Provide a definition, classification system, and recommend management options for significant suprastomal collapse in children with tracheostomy.
METHODS
Members of the International Pediatric Otolaryngology Group (IPOG) who are experts in pediatric airway conditions were surveyed and results were refined using a modified Delphi method.
RESULTS
Consensus was defined as > 70% agreement on a subject. The experts achieved consensus: CONCLUSION: This consensus statement provides recommendations for medical specialists who manage infants and children with tracheostomies with significant Suprastomal Collapse. It provides a classification system to facilitate diagnosis and treatment options for this condition.
简介
气管造口术后上气道狭窄（SuStCo）是儿童长期气管造口的常见并发症。目前针对该主题的文献很少，尤其是在如何管理严重的气管造口上气道狭窄以防止安全拔管方面。
目的
为气管造口术的儿童中严重的气管造口上气道狭窄提供定义、分类系统和管理选择建议。
方法
国际小儿耳鼻喉科组织（IPOG）的专家对小儿气道疾病进行了调查，并使用改良 Delphi 法对结果进行了优化。
结果
共识定义为对某一主题的 > 70% 的一致意见。专家达成共识：结论：本共识声明为管理有严重气管造口上气道狭窄的婴儿和儿童的医疗专家提供建议。它提供了一个分类系统，以促进该病症的诊断和治疗选择。
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