Clinical consensus statement: Diagnosis and management of nasal valve compromise.
Clinical consensus statement: Diagnosis and management of nasal valve compromise.
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DOI：
10.1016/j.otohns.2010.04.019
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发表时间：
2010-07
期刊：
影响因子：
--
通讯作者：
DiVittorio D
中科院分区：
文献类型：
--
作者：
Rhee JS;Weaver EM;Park SS;Baker SR;Hilger PA;Kriet JD;Murakami C;Senior BA;Rosenfeld RM;DiVittorio D
旨在创建临床共识声明，以解决鼻瓣膜受损（NVC）诊断和治疗中的模糊性和差异性。对文献进行了更新的系统综述。此外，一个修改后的德尔菲法被用来提炼专家意见，并促进共识的立场。经过两轮调查和电话会议，36项达成共识，6项接近共识，10项未达成共识。共识或接近共识项目百分比最高的类别是：定义、病史和体格检查、结局指标和管理。相反，无共识项目百分比较高的类别是：重复性测试和编码。共识小组一致认为NVC是一种独特的临床实体，最好通过病史和体格检查结果进行评估。内窥镜检查和摄影是有用的，但不是常规指示，而放射学研究是没有用的评估NVC。其他客观的鼻部结果指标可能对NVC没有帮助或不被接受。鼻腔类固醇药物是没有用的治疗NVC在鼻炎的情况下，和机械治疗可能是有用的在选定的患者。手术治疗是NVC的主要治疗方式，但账单编码仍然模糊不清。
To create a clinical consensus statement to address ambiguities and disparities in the diagnosis and management of nasal valve compromise (NVC). An updated systematic review of the literature was conducted. In addition, a Modified Delphi Method was used to refine expert opinion and facilitate a consensus position. After two rounds of surveys and conference calls, thirty six items reached consensus, six items reached near consensus, and ten items reached no consensus. The categories that had the greatest percentage of consensus or near consensus items were: definition, history and physical examination, outcome measures, and management. Conversely, the categories with greater percentage of no consensus items were: adjunctive tests and coding. The consensus panel agreed that NVC is a distinct clinical entity that is best evaluated with history and physical exam findings. Endoscopy and photography are useful but not routinely indicated, while radiographic studies are not useful in evaluating NVC. Other objective nasal outcome measures may not be useful or accepted for NVC. Nasal steroid medication is not useful for treating NVC in the absence of rhinitis, and mechanical treatments may be useful in selected patients. Surgical treatment is the primary mode of treatment of NVC, but bill coding remains ambiguous and confusing.
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影响因子：
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作者：
Khosh, Maurice M;Jen, Albert;Pearlman, Steven J
通讯作者：
Pearlman, Steven J
影响因子：
2.6
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通讯作者：
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