...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>International journal of pediatric otorhinolaryngology >A review of outcomes following inferior turbinate reduction surgery in children for chronic nasal obstruction.
【24h】

A review of outcomes following inferior turbinate reduction surgery in children for chronic nasal obstruction.

机译：小儿下鼻甲复位手术治疗慢性鼻塞后的疗效回顾。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: The surgical management of enlarged inferior turbinates in children is controversial. The evidence base for turbinate surgery is weak and surgeons empirically offer surgery where the predominant symptom was nasal obstruction. OBJECTIVE: To evaluate the evidence for inferior turbinate surgery in children suffering with chronic nasal congestion. METHODS: A structured review of the PubMed, EMBASE and the Cochrane Collaboration databases (Cochrane Central Register of Controlled Trials, Cochrane Database of Systemic Reviews) was undertaken, using the MeSH terms: nasal obstruction, turbinates, surgery and children. Only articles focusing on turbinate surgery with an exclusively paediatric cohort were included. RESULTS: Eleven studies fulfilled the inclusion criteria. The ages of the children ranged from 1 to 17 years at the time of surgery and were followed-up for a period of 3 months to 14 years. Surgical indication for all studies was chronic nasal congestion, resistant to a trial of medical treatment for 2-3 months preceding surgery. Of the 730 cases reviewed, 79.1% had turbinate surgery as the standalone procedure. The remaining 21.9% had other concurrent procedures performed, the most common being adeno-tonsillectomy. Although all studies generally supported the effectiveness of turbinate reduction surgery for inferior turbinate hypertrophy, the outcome measures used were varied and did not allow comparison across studies. CONCLUSIONS: There is currently little evidence to support turbinate reduction surgery in children. The role of surgery, if any, has not been properly examined. Furthermore, the long-term effects on nasal airflow dynamics, nasal physiology and long-term complications remain to be studied.
机译：背景：儿童下鼻甲增大的手术治疗引起争议。鼻甲手术的证据基础薄弱，外科医生凭经验提供主要症状为鼻塞的手术。目的：评估慢性鼻充血儿童下鼻甲手术的证据。方法：使用MeSH术语对鼻腔阻塞，鼻甲，手术和儿童进行MeSH术语的PubMed，EMBASE和Cochrane协作数据库（Cochrane对照试验中央登记册，Cochrane系统评价数据库）进行结构化审查。仅收录了专门针对小儿队列研究的鼻甲手术的文章。结果：11项研究符合纳入标准。手术时儿童的年龄为1至17岁，并进行了3个月至14岁的随访。所有研究的手术指征均为慢性鼻充血，对手术前2-3个月的药物治疗试验有抵抗力。在730例病例中，有79.1％作为独立手术进行了鼻甲手术。其余21.9％的患者还进行了其他并行手术，最常见的是腺扁桃体切除术。尽管所有研究都普遍支持减少鼻甲手术对下鼻甲肥大的有效性，但所采用的结果指标各不相同，因此无法进行跨研究的比较。结论：目前尚无证据支持儿童鼻甲减少手术。手术的作用（如果有的话）尚未得到适当检查。此外，对鼻腔气流动力学，鼻腔生理和长期并发症的长期影响仍有待研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号