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新冠疫情时代儿童复杂性鼻窦炎的管理

Management of complicated pediatric rhinosinusitis in the COVID-19 era.

作者信息

Blanco Conor H, Stein John B, Barinsky Gregory L, Fang Christina H, Grube Jordon G, Turbin Roger E, Eloy Jean Anderson

机构信息

Department of Otolaryngology - Head and Neck Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.

Department of Ophthalmology and Visual Science, Rutgers New Jersey Medical School, Newark, NJ, USA.

出版信息

Am J Otolaryngol. 2020 Nov-Dec;41(6):102746. doi: 10.1016/j.amjoto.2020.102746. Epub 2020 Sep 23.

DOI:10.1016/j.amjoto.2020.102746
PMID:33198053
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7511219/
Abstract

With the ongoing development of the COVID-19 pandemic, research continues to emerge regarding the pathophysiology, characteristics, and treatment considerations for patients with COVID-19. No reports have highlighted the specific challenges posed in the management of pediatric patients with COVID-19 who present with complicated rhinosinusitis. In this report, we discuss our preoperative, intraoperative, and postoperative multidisciplinary treatment strategy for these cases and provide two examples of complicated rhinosinusitis cases in COVID-19 patients, treated with two different approaches. Pearls, insights, and a brief review of the literature are discussed.

摘要

随着新冠疫情的持续发展,关于新冠患者的病理生理学、特征及治疗考量的研究不断涌现。尚无报告强调患有复杂性鼻窦炎的新冠患儿管理中所面临的具体挑战。在本报告中,我们讨论了针对这些病例的术前、术中和术后多学科治疗策略,并提供了两例采用两种不同方法治疗的新冠患者复杂性鼻窦炎病例。文中还讨论了要点、见解及对相关文献的简要回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/e47b8ff04c4c/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/224a31e42cc4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/8e395744a17e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/6cabcbbd24a1/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/e47b8ff04c4c/gr4_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/224a31e42cc4/gr1_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/8e395744a17e/gr2_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/6cabcbbd24a1/gr3_lrg.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f78/7511219/e47b8ff04c4c/gr4_lrg.jpg

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本文引用的文献

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Non-neuronal expression of SARS-CoV-2 entry genes in the olfactory system suggests mechanisms underlying COVID-19-associated anosmia.SARS-CoV-2 进入基因在嗅觉系统中的非神经元表达提示了 COVID-19 相关嗅觉丧失的潜在机制。
Sci Adv. 2020 Jul 31;6(31). doi: 10.1126/sciadv.abc5801. Epub 2020 Jul 24.
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COVID-19感染背景下的青少年硬膜下积脓:病例说明
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Management of complicated acute sinusitis in the setting of concurrent COVID-19.处理 COVID-19 大流行背景下伴发的复杂急性鼻窦炎。
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Pediatric COVID-19 associated acute rhinosinusitis and periorbital abscess: A case report.儿童新冠病毒感染相关急性鼻-鼻窦炎及眶周脓肿:一例报告
Otolaryngol Case Rep. 2022 Sep;24:100461. doi: 10.1016/j.xocr.2022.100461. Epub 2022 Jul 5.
以新冠病毒病表现的脑静脉窦血栓形成
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Thromb Haemost. 2020 Jun;120(6):949-956. doi: 10.1055/s-0040-1710317. Epub 2020 Apr 29.
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Best Practice Recommendations for Pediatric Otolaryngology during the COVID-19 Pandemic.COVID-19 大流行期间儿科耳鼻喉科的最佳实践建议。
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