EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists
EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists
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DOI：
10.4193/rhino12.000
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发表时间：
2012-03-01
期刊：
影响因子：
7.2
通讯作者：
Wormald, Peter John
中科院分区：
文献类型：
--
作者：
Fokkens, Wytske J.;Lund, Valerie J.;Wormald, Peter John
2012年欧洲关于鼻窦炎和鼻息肉的立场文件是2005年和2007年发表的类似循证立场文件的更新。该文件包含有关定义和分类的章节，我们现在还提出了“难以治疗”鼻窦炎的定义，疾病控制和儿童鼻窦炎的更好定义。急性鼻窦炎的诊断和治疗越来越受到重视。在整个文件中，术语慢性鼻窦炎无鼻息肉（CRSsNP）和慢性鼻窦炎伴鼻息肉（CRSwNP）用于进一步指出这两种实体的病理生理学和治疗的差异。有关于流行病学和诱发因素，炎症机制，面部疼痛、遗传学、囊性纤维化、阿司匹林加重呼吸道疾病、免疫缺陷的（鉴别）诊断，变应性真菌性鼻窦炎与上下气道的关系。关于儿科急性和慢性鼻窦炎的章节完全重写。最后但并非最不重要的是，分析和提出了成人和儿童急性鼻窦炎和慢性鼻窦炎伴或不伴鼻息肉的所有可用证据，并提出了基于证据的管理方案。这份耳鼻喉科执行摘要重点介绍了耳鼻喉科最重要的变化和问题。
The European Position Paper on Rhinosinusitis and Nasal Polyps 2012 is the update of similar evidence based position papers published in 2005 and 2007.The document contains chapters on definitions and classification, we now also propose definitions for 'difficult to treat' rhinosinusitis, control of disease and better definitions for rhinosinusitis in children. More emphasis is placed on the diagnosis and treatment of acute rhinosinusitis. Throughout the document the terms chronic rhinosinusitis without nasal polyps (CRSsNP) and chronic rhinosinusitis with nasal polyps (CRSwNP) are used to further point out differences in pathophysiology and treatment of these two entities.There are extensive chapters on epidemiology and predisposing factors, inflammatory mechanisms, (differential) diagnosis of facial pain, genetics, cystic fibrosis, aspirin exacerbated respiratory disease, immunodeficiencies, allergic fungal rhinosinusitis and the relationship between the upper and lower airways. The chapters on paediatric acute and chronic rhinosinusitis are totally rewritten.Last but not least all available evidence for management of acute rhinosinusitis and chronic rhinosinusitis with or without nasal polyps in adults and children is analyzed and presented and management schemes based on the evidence are proposed. This executive summary for otorhinolaryngologists focuses on the most important changes and issues for otorhinolaryngologists.