扁桃体囊内摘除术:树立新标准。

IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY
Ethan Bassett
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引用次数: 0

摘要

综述目的:扁桃体切除术是美国最常见的儿童手术之一。自2002年以来,囊内技术已被研究为一种更安全、疼痛更小的替代全扁桃体切除术的方法。然而,人们对这项技术的再生潜力和长期结果表示担忧。最近的发现:研究支持使用囊内扁桃体切除术治疗睡眠呼吸障碍,包括综合征人群,以及扁桃体炎。此外,与囊外剥离相比,安全性仍在不断提高。虽然再生的发生率取决于研究和随访的持续时间,但仍处于可接受的低水平。翻修手术最一致的独立风险因素包括年轻人。总结:虽然全扁桃体切除术在历史上得到了更彻底的研究,但文献中一个重要的缺失是它明显优于囊内技术。随着持续的高水平研究,以及对长期结果的额外检查,我们应该继续看到更大程度上接受囊内扁桃体切除术作为弱势人群的标准做法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intracapsular tonsillectomy: setting a new standard.

Purpose of review: Tonsillectomy is one of the most common surgical procedures performed on children in the United States. Since 2002, the intracapsular technique has been studied as a safer and less painful alternative to total tonsillectomy. Concerns have been raised, however, as to the potential for regrowth and long-term outcomes regarding this technique.

Recent findings: Studies support the use of intracapsular tonsillectomy in the management of sleep disordered breathing, including in syndromic populations, as well as for tonsillitis. In addition, safety profiles continue to be improved over that of extracapsular dissection. While the incidence of regrowth ranges depending on the study and duration of follow up, it remains acceptably low. The most consistent independent risk factor for revision surgery includes young age.

Summary: While total tonsillectomy is more thoroughly studied historically, an important absence in the literature is a definitive superiority over the intracapsular technique. With continued high-level studies, as well as additional examination of long-term outcomes, we should continue to see greater acceptance of intracapsular tonsillectomy as a standard of practice in a vulnerable population.

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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
96
审稿时长
6-12 weeks
期刊介绍: Current Opinion in Otolaryngology & Head and Neck Surgery is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With eleven disciplines published across the year – including maxillofacial surgery, head and neck oncology and speech therapy and rehabilitation – every issue also contains annotated references detailing the merits of the most important papers.
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