Clinical Practice Guideline: Tympanostomy Tubes in Children-Executive Summary
Clinical Practice Guideline: Tympanostomy Tubes in Children-Executive Summary
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DOI：
10.1177/0194599813490141
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发表时间：
2013-07-01
影响因子：
3.4
通讯作者：
Schellhase, Kenneth G.
中科院分区：
文献类型：
--
作者：
Rosenfeld, Richard M.;Schwartz, Seth R.;Schellhase, Kenneth G.
美国耳鼻喉学会头颈外科基金会（AAO-HNSF）已经出版了这一期的增刊，其中包括新的临床实践指南：儿童鼓膜造瘘管。为了帮助实现指南建议，本文总结了基本原理、目的和关键操作声明。制定的12项建议涉及儿童鼓室造瘘管的患者选择、手术指征和管理。发展小组广泛讨论了置管指征、围手术期管理、留置管患儿的护理以及鼓室造口管手术的结果。鉴于目前缺乏关于手术指征的出版指南，该小组将重点放在可选择、推荐或不推荐插入管的情况下。另外还强调了提高质量的机会，特别是在共同决策和照顾有现有输卵管的儿童方面。
The American Academy of OtolaryngologyHead and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tympanostomy Tubes in Children. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 12 recommendations developed address patient selection, surgical indications for and management of tympanostomy tubes in children. The development group broadly discussed indications for tube placement, perioperative management, care of children with indwelling tubes, and outcomes of tympanostomy tube surgery. Given the lack of current published guidance on surgical indications, the group focused on situations in which tube insertion would be optional, recommended, or not recommended. Additional emphasis was placed on opportunities for quality improvement, particularly regarding shared decision making and care of children with existing tubes.