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/rhino50e2
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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对2005年和2007年发表的基于证据的类似立场文件的更新。该文件包含定义和分类的章节，我们现在还提出了难以治疗的鼻窦炎的定义，疾病的控制，以及更好的儿童鼻窦炎定义。更重视急性鼻-鼻窦炎的诊断和治疗。在整个文件中，术语无鼻息肉的慢性鼻-鼻窦炎(CRSsNP)和慢性鼻-鼻窦炎并鼻息肉(CRSwNP)被用来进一步指出这两种疾病在病理生理学和治疗方面的差异。这两种疾病的流行病学和易感因素、炎症机制、面部疼痛的(鉴别)诊断、遗传学、囊性纤维化、阿司匹林加重的呼吸系统疾病、免疫缺陷、变应性真菌性鼻-鼻窦炎以及上呼吸道和下呼吸道之间的关系有大量章节。关于儿科急性鼻窦炎和慢性鼻窦炎的章节是完全重写的。最后但并非最不重要的是，对成人和儿童急性鼻窦炎和慢性鼻窦炎合并或不合并鼻息肉的治疗进行了分析和提出了基于这些证据的治疗方案。这份面向耳鼻咽喉科医生的执行摘要重点介绍了耳鼻咽喉科医生面临的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.