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前位流涎的综合管理:国际儿科耳鼻咽喉科小组(IPOG)共识声明

Comprehensive management of anterior drooling: An International Pediatric Otolaryngology Group (IPOG) consensus statement.

作者信息

Daniel Sam J, Fayoux Pierre, Bateman Neil, Boudewyns An, Brigger Matthew, Chan Ching Yee, Chan Kenny, Cheng Alan, Conley Stephen, Kubba Haytham, Lambert Elton M, Muntz Harlan, Nuss Roger, Russell John, Rutter Mike, Schwarz Yehuda, Spratley Jorge, Thevasagayam Ravi, Thompson Dana, Valika Taher, Wyatt Michelle

机构信息

Department of Otolaryngology - Head and Neck Surgery, McGill University Health Center, Montreal Children's Hospital, McGill University, Quebec, Canada.

Department of Otolaryngology - Head and Neck Surgery, CHU Lille, F-59000, Lille, France.

出版信息

Int J Pediatr Otorhinolaryngol. 2023 May;168:111500. doi: 10.1016/j.ijporl.2023.111500. Epub 2023 Mar 9.

Abstract

OBJECTIVE

To provide guidance for the comprehensive management of children referred for anterior drooling. The mission of the International Pediatric Otolaryngology Group (IPOG) is to develop expertise-based recommendations for the management of pediatric otolaryngologic disorders with the goal of improving patient care.

METHODS

Survey of expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). The recommendations are derived from current expert consensus and critical review of the literature.

RESULTS

Consensus recommendations include initial care and approach recommendations for health care providers who commonly evaluate children with drooling. This includes evaluation and treatment considerations for commonly debated issues in drooling management, initial work-up of children referred for anterior drooling, treatment recommendations, indications and contra-indications for rehabilitation, medical, and surgical management, as well as pros and cons of different surgical procedures in the hands of drooling management experts.

CONCLUSION

Anterior drooling consensus recommendations are aimed at improving patient-centered care in children referred for sialorrhea.

摘要

目的

为转诊前来治疗流涎症的儿童提供综合管理指导。国际小儿耳鼻咽喉科组织(IPOG)的使命是制定基于专业知识的小儿耳鼻咽喉疾病管理建议,以改善患者护理。

方法

国际小儿耳鼻咽喉科组织(IPOG)成员进行专家意见调查。这些建议源自当前的专家共识和对文献的批判性综述。

结果

共识性建议包括针对通常对流涎儿童进行评估的医疗保健提供者的初始护理和方法建议。这包括流涎管理中常见争议问题的评估和治疗考虑因素、转诊前来治疗前位流涎儿童的初步检查、治疗建议、康复、药物和手术管理的适应症和禁忌症,以及流涎管理专家实施不同手术程序的利弊。

结论

前位流涎的共识性建议旨在改善转诊前来治疗流涎症儿童以患者为中心的护理。

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