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Newborn cytomegalovirus screening: is this the new standard? 新生儿巨细胞病毒筛查:这是新标准吗?
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-10-11 DOI: 10.1097/MOO.0000000000000925
Soren Gantt

Purpose of review: Congenital cytomegalovirus infection (cCMV) is a major cause of childhood hearing loss and neurodevelopmental delay. Early identification of cCMV allows for interventions that improve outcomes, particularly for cCMV-related hearing loss that develops in early childhood. Most cCMV is asymptomatic at birth and is rarely diagnosed without newborn screening. Therefore, various approaches to cCMV screening are increasingly being adopted.

Recent findings: Both universal screening (testing all newborns) and targeted screening (testing triggered by failed hearing screening) for cCMV appear valuable, feasible and cost-effective, though universal screening is predicted to have greatest potential overall benefits. CMV PCR testing of newborn oral swabs is sensitive and practical and is therefore widely used in targeted screening programs. In contrast, PCR using dried-blood spots (DBS) is less sensitive but was adopted by current universal cCMV screening initiatives because DBS are already collected from all newborns in high-income countries, which circumvents large-scale oral swab collection.

Summary: Targeted screening is widely recommended as standard of care, while universal screening is less common but is progressively considered as the optimal strategy for identification of children with cCMV. As with all screening programs, cCMV screening requires commitments to equitable and reliable testing, follow-up and services.

综述目的:先天性巨细胞病毒感染(cCMV)是儿童听力损失和神经发育迟缓的主要原因。cCMV的早期识别有助于改善结果的干预措施,特别是对儿童早期出现的与cCMV相关的听力损失。大多数cCMV在出生时没有症状,很少在没有新生儿筛查的情况下被诊断出来。因此,cCMV筛查的各种方法越来越多地被采用。最近的发现:cCMV的普遍筛查(对所有新生儿进行检测)和定向筛查(由听力筛查失败引发的检测)似乎都是有价值、可行和成本效益的,尽管普遍筛查被预测具有最大的潜在总体益处。新生儿口腔拭子的CMV PCR检测是敏感和实用的,因此被广泛用于有针对性的筛查项目。相比之下,使用干血点(DBS)的PCR不太敏感,但被当前普遍的cCMV筛查计划所采用,因为DBS已经从高收入国家的所有新生儿中收集,这避开了大规模的口腔拭子收集。摘要:有针对性的筛查被广泛推荐为护理标准,而普遍筛查则不太常见,但逐渐被认为是识别cCMV儿童的最佳策略。与所有筛查项目一样,cCMV筛查需要承诺公平可靠的检测、随访和服务。
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引用次数: 0
The management of pediatric Graves' disease. 小儿Graves病的治疗。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI: 10.1097/MOO.0000000000000933
Lourdes Quintanilla-Dieck

Purpose of review: Graves' disease (GD) constitutes a significant proportion of thyroid disorders seen during childhood. Several specialties may be closely involved in the management of pediatric patients with GD and emerging research in each field contributes to variations in the approach over time. Here we review the recent literature on the management of the disease, with the hope that this can be a valuable resource for treating specialists who need to be continuously updated on new data obtained in relevant fields.

Recent findings: Genetic, postinfectious and environmental factors may play a role in the immunological pathophysiology of GD. Research performed during the COVID-19 pandemic supports that viral-induced immune dysregulation may be a possible trigger for the disease. The various current treatment options all have positive and negative factors to consider. Antithyroidal drug therapy (ATD) is generally recommended as the initial treatment, although remission rates are only 20-30% at 2 years and 75% at 9 years. Unfortunately, about half of patients will relapse within 1 year of discontinuing therapy. Radioactive iodine therapy (RAI) is an effective treatment option and can be considered in certain pediatric patients. There continues to be no definitive evidence that the doses used for GD lead to a higher risk of cancer. Surgical treatment via thyroidectomy is effective and safe when performed by a high-volume surgeon. Recent studies show improvement in quality-of-life after surgery in adolescents and young adults. Future medical treatment options for GD currently being studied include antigen-specific immunotherapy and monoclonal antibodies.

Summary: Although the future holds promising new therapeutic options for autoimmune diseases including GD, the current choices continue to be ATD, usually first-line, and definitive treatments including RAI and surgery. While all three offer the possibility of remission or cure, drug therapy and RAI have a possibility of relapse. Risks of each approach should be broached in detail with patients and their families, and the nuances of treating this disease specifically in children should be familiar to all treating providers.

综述目的:Graves病(GD)在儿童期甲状腺疾病中占很大比例。几个专业可能密切参与GD儿科患者的管理,每个领域的新兴研究都会导致方法随着时间的推移而发生变化。在这里,我们回顾了最近关于该疾病管理的文献,希望这能成为治疗专家的宝贵资源,这些专家需要不断更新相关领域获得的新数据。最近的发现:遗传、感染后和环境因素可能在GD的免疫病理生理学中发挥作用。在新冠肺炎大流行期间进行的研究表明,病毒诱导的免疫失调可能是该疾病的诱因。目前的各种治疗方案都有积极和消极的因素需要考虑。抗甲状腺药物治疗(ATD)通常被建议作为初始治疗,尽管2岁时的缓解率仅为20-30% 9岁时为75% 年。不幸的是,大约一半的患者会在1 停止治疗的一年。放射性碘治疗(RAI)是一种有效的治疗选择,可以考虑用于某些儿科患者。仍然没有明确的证据表明用于GD的剂量会导致更高的癌症风险。由大容量外科医生进行甲状腺切除术的手术治疗是有效和安全的。最近的研究表明,青少年和年轻人手术后的生活质量有所改善。目前正在研究的GD的未来治疗方案包括抗原特异性免疫疗法和单克隆抗体。摘要:尽管未来对包括GD在内的自身免疫性疾病有着很有希望的新治疗选择,但目前的选择仍然是ATD,通常是一线治疗,以及包括RAI和手术在内的最终治疗。虽然这三种药物都有缓解或治愈的可能性,但药物治疗和RAI有复发的可能性。每种方法的风险都应该与患者及其家人详细讨论,所有治疗提供者都应该熟悉专门在儿童身上治疗这种疾病的细微差别。
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引用次数: 0
Carotid endarterectomy for the management of carotid stenosis occurring concurrently with head and neck cancer. 颈动脉内膜切除术治疗头颈部癌症并发颈动脉狭窄。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-11-02 DOI: 10.1097/MOO.0000000000000928
Julia Telischi, Eric Nisenbaum, Elizabeth Nicolli

Purpose of review: Currently, most patients with concurrent head and neck cancer (HNC) and carotid stenosis (CS) are treated disjointedly for their oncologic and vascular lesions. The purpose of this review is to evaluate literature exploring a novel approach to these cases that poses several advantages, in which carotid endarterectomy (CEA) is performed simultaneously with surgical resection of HNC.

Recent findings: Carotid stenosis is a common comorbidity of patients presenting with head and neck cancer as these pathologies have overlapping risk factors. Adjuvant oncologic therapy such as radiation therapy to the site of the lesion is known to increase development or progression of carotid stenosis. Performing simultaneous surgical management of CS and HNC decreases total procedures for the patient, provides a less challenging surgical field, and eliminates prioritization of treatment initiation for one pathology over the other. There has been limited reporting of simultaneous CEA with oncologic resection of HNC in the literature. However, of the 21 cases reviewed here, no perioperative strokes were reported with only one perioperative death from myocardial infarction.

Summary: Available literature supports that simultaneous CEA with oncologic resection of HNC is safe and may offer several advantages, although larger studies are required.

综述目的:目前,大多数同时患有癌症(HNC)和颈动脉狭窄(CS)的患者因其肿瘤和血管病变而被分开治疗。这篇综述的目的是评估文献,探索一种新的方法来治疗这些病例,这种方法具有几个优点,其中颈动脉内膜切除术(CEA)与HNC手术切除术同时进行。最近的研究结果:颈动脉狭窄是癌症头颈部患者的常见合并症,因为这些疾病具有重叠的风险因素。已知辅助肿瘤学治疗,例如对病变部位的放射治疗会增加颈动脉狭窄的发展或进展。同时进行CS和HNC的手术管理减少了患者的总手术量,提供了一个不那么具有挑战性的手术领域,并消除了一种病理的治疗开始优先于另一种病理。在文献中,CEA与HNC肿瘤切除术同时进行的报道有限。然而,在这里回顾的21例病例中,没有围手术期中风的报告,只有一例围手术期心肌梗死死亡。综述:现有文献支持CEA与HNC肿瘤切除术同时进行是安全的,并且可能提供几个优点,尽管还需要更大规模的研究。
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引用次数: 0
Spare a thought for swallowing. 好好想想吞咽吧。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-11-02 DOI: 10.1097/MOO.0000000000000923
Jacqui Allen
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引用次数: 0
Supragastric belching and rumination syndrome: diagnosis and management. 膈上打嗝和反刍综合征:诊断和治疗。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-09-07 DOI: 10.1097/MOO.0000000000000924
Kate Davidson, Haley Sibley, Ashli K O'Rourke

Purpose of review: This review article aims to discuss the clinical presentation and diagnosis of rumination syndrome and supragastric belching, as well as treatment options for both diseases.

Recent findings: Functional gastrointestinal disorders such as rumination syndrome and supragastric belching may be effectively treated using biofeedback.

Summary: A comprehensive approach that includes potential pharmacologic treatments, cognitive behavioral therapy and biofeedback should also be considered for optimal management of supragastric belching and rumination.

综述目的:本文旨在讨论反刍综合征和胃上打嗝的临床表现和诊断,以及这两种疾病的治疗方案。最近的研究结果:使用生物反馈可以有效治疗功能性胃肠道疾病,如反刍综合征和胃上打嗝。总结:还应考虑采用包括潜在药物治疗、认知行为治疗和生物反馈在内的综合方法来优化胃上打嗝和反刍的管理。
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引用次数: 0
Advances in and applications of imaging and radiomics in head and neck cancer survivorship. 影像学和放射组学在癌症头颈部生存中的进展和应用。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-12-01 Epub Date: 2023-08-04 DOI: 10.1097/MOO.0000000000000918
Laurelie R Wishart, Elizabeth C Ward, Graham Galloway

Purpose of review: Radiological imaging is an essential component of head/neck cancer (HNC) care. Advances in imaging modalities (including CT, PET, MRI and ultrasound) and analysis have enhanced our understanding of tumour characteristics and prognosis. However, the application of these methods to evaluate treatment-related toxicities and functional burden is still emerging. This review showcases recent literature applying advanced imaging and radiomics to the assessment and management of sequelae following chemoradiotherapy for HNC.

Recent findings: Whilst primarily early-stage/exploratory studies, recent investigations have showcased the feasibility of using radiological imaging, particularly advanced/functional MRI (including diffusion-weighted and dynamic contrast-enhanced MRI), to quantify treatment-induced tissue change in the head/neck musculature, and the clinical manifestation of lymphoedema/fibrosis and dysphagia. Advanced feature analysis and radiomic studies have also begun to give specific focus to the prediction of functional endpoints, including dysphagia, trismus and fibrosis.

Summary: There is demonstrated potential in the use of novel imaging techniques, to help better understand pathophysiology, and improve assessment and treatment of functional deficits following HNC treatment. As larger studies emerge, technologies continue to progress, and pathways to clinical translation are honed, the application of these methods offers an exciting opportunity to transform clinical practices and improve outcomes for HNC survivors.

综述目的:放射成像是头/颈癌症(HNC)护理的重要组成部分。成像方式(包括CT、PET、MRI和超声)和分析的进步增强了我们对肿瘤特征和预后的理解。然而,这些方法在评估治疗相关毒性和功能负担方面的应用仍在不断涌现。这篇综述展示了将先进的成像和放射组学应用于HNC放化疗后遗症评估和管理的最新文献。最近的发现:虽然主要是早期/探索性研究,但最近的研究表明了使用放射成像的可行性,特别是高级/功能性MRI(包括扩散加权和动态对比增强MRI),以量化治疗诱导的头部/颈部肌肉组织的组织变化,以及淋巴水肿/纤维化和吞咽困难的临床表现。高级特征分析和放射组学研究也开始特别关注功能终点的预测,包括吞咽困难、三体和纤维化。总结:使用新的成像技术有助于更好地了解病理生理学,并改善HNC治疗后功能缺陷的评估和治疗,这是有潜力的。随着更大规模研究的出现,技术的不断进步,临床转化途径的不断完善,这些方法的应用为改变临床实践和改善HNC幸存者的预后提供了一个令人兴奋的机会。
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引用次数: 0
Meniere's disease is a manifestation of migraine. 梅尼埃病是偏头痛的一种表现。
IF 1.9 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-10-01 Epub Date: 2023-06-02 DOI: 10.1097/MOO.0000000000000908
Madelyn Frank, Mehdi Abouzari, Hamid R Djalilian

Purpose of review: To discuss the theory that Meniere's disease (MD) is a variation of otologic migraine rather than an isolated inner ear condition.

Recent findings: In contrast to the approximately 12% of the general population suffering from migraine headaches, 51-60% of patients with MD experience migraine headaches. While pathognomonic for MD, endolymphatic hydrops has also been identified in patients with vestibular migraine. Treatment with the integrative neurosensory rehabilitation approach (diet and lifestyle changes, magnesium and riboflavin supplementation, and when needed, prophylactic medication) to treat the underlying migraine process has been highly effective in patients with MD.

Summary: MD can be understood as a manifestation of migraine such that patients with MD can be effectively treated with migraine therapies.

综述目的:讨论梅尼埃病(MD)是耳科偏头痛的一种变异,而不是一种孤立的内耳疾病的理论。最近的发现:与大约12%的普通人群患有偏头痛相反,51-60%的MD患者患有偏头痛。虽然MD的病理特征,但前庭偏头痛患者也发现了内淋巴积水。综合性神经感觉康复方法(饮食和生活方式的改变,镁和核黄素的补充,以及必要时的预防性药物)治疗潜在的偏头痛过程对MD患者非常有效。总结:MD可以被理解为偏头痛的一种表现,因此MD患者可以有效地治疗偏头痛治疗。
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引用次数: 0
Editorial introductions 编辑介绍
4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-10-01 DOI: 10.1097/moo.0000000000000915
Current Opinion in Otolaryngology & Head and Neck Surgery was launched in 1993. It is one of a successful series of review journals whose unique format is designed to provide a systematic and critical assessment of the literature as presented in the many primary journals. The fields of otolaryngology and head and neck surgery are divided into 11 sections that are reviewed once a year. Each section is assigned a Section Editor, a leading authority in the area, who identifies the most important topics at that time. Here we are pleased to introduce the Journal's Section Editors for this issue. SECTION EDITORS Ravi Samy and Nael ShomanRavi Samy and Nael ShomanDr Ravi N. Samy, MD, FACS is Chief of the Division of Otology/Neurotology and Associate Professor in the Department of Otolaryngology – Head and Neck Surgery at the University of Cincinnati / Cincinnati Children's Hospital Medical Center, USA. Dr Ravi N. Samy has been a Neurotologist at the University of Cincinnati / Cincinnati Children's Medical Center Gardner Neuroscience Institute and the program director of the Neurotology Fellowship at the UC College of Medicine since 2005. He is also the director of the Adult Auditory Implant Program as well as a Professor of Otolaryngology. Dr Samy was born in what is now known as Chennai, India, and immigrated to the United States at the age of 4. After living for one year in Canton, Ohio and 3 years in Connecticut, he spent most of his formative years living in Texas. He went to Duke University in North Carolina for his undergraduate education. After graduating magna cum laude with a bachelor's degree in zoology, Dr Samy attended the Duke University School of Medicine until his graduation in 1995. He then completed his resident training at Stanford University School of Medicine, where he developed a love for otology, neurotology and skull base surgery. Dr Samy spent two years at the University of Iowa as a Neurotology fellow before moving back to Texas to be an assistant professor at the UT-Southwestern Medical Center in Dallas. Dr Samy decided to move to Cincinnati because he was enamored with the phenomenal academic opportunity he found in the Department of Otolaryngology at UCMC and Cincinnati Children's Hospital Medical Center (CCHMC). During his time at UCMC he has created an ACGME accredited, two-year Neurotology fellowship, which is one of approximately 20 in the country. His research interests include cochlear and auditory brainstem implantation as well as acoustic neuromas, neurofibromatosis type 2, facial nerve tumors and other diseases and disorders of the lateral skull base. Dr Samy is also interested in using novel techniques and technologies to eradicate tumors, such as the use oncolytic virotherapy. He is collaborating with researchers in India to incorporate these technologies to enhance global health and increase collaboration between UC and international institutions, thus benefiting both US citizens and those of other nations. Robert
《耳鼻咽喉头颈外科最新意见》创刊于1993年。它是一系列成功的评论期刊之一,其独特的格式旨在提供许多主要期刊中提出的文献的系统和批判性评估。耳鼻喉科和头颈外科分为11个部分,每年复习一次。每个章节都有一个章节编辑,他是该领域的权威,负责确定当时最重要的主题。在这里,我们很高兴地介绍本刊的栏目编辑。Ravi N. Samy,医学博士,美国辛辛那提大学/辛辛那提儿童医院医学中心耳科/神经内科主任,耳鼻喉科-头颈外科副教授。Ravi N. Samy博士自2005年以来一直是辛辛那提大学/辛辛那提儿童医学中心加德纳神经科学研究所的神经学家,也是加州大学医学院神经学奖学金项目主任。他也是成人听觉植入项目的主任,也是耳鼻喉科的教授。萨米博士出生在现在的印度金奈,4岁时移民到美国。在俄亥俄州坎顿生活了一年,在康涅狄格州生活了三年之后,他在德克萨斯州度过了大部分的成长岁月。他去了北卡罗来纳州的杜克大学(Duke University)接受本科教育。在以优异成绩获得动物学学士学位后,Samy博士进入杜克大学医学院学习,直到1995年毕业。然后,他在斯坦福大学医学院完成了住院医师培训,在那里他对耳科、神经学和颅底外科产生了兴趣。萨米博士在爱荷华大学(University of Iowa)做了两年神经学研究员,之后回到德克萨斯州,在达拉斯的ut -西南医学中心(UT-Southwestern Medical Center)担任助理教授。Samy博士决定搬到辛辛那提,因为他被UCMC耳鼻喉科和辛辛那提儿童医院医疗中心(CCHMC)的非凡学术机会所吸引。在UCMC工作期间,他创建了ACGME认证的两年神经学奖学金,这是全国约20个神经学奖学金之一。主要研究方向为耳蜗、听脑干植入及听神经瘤、2型神经纤维瘤病、面神经肿瘤等侧颅底疾病和障碍。Samy博士对使用新技术和技术来根除肿瘤也很感兴趣,比如使用溶瘤病毒疗法。他正在与印度的研究人员合作,将这些技术纳入全球健康领域,并加强加州大学与国际机构之间的合作,从而使美国公民和其他国家的公民都受益。Robert S. Hong博士,医学博士,密歇根耳研究所的合伙人、首席财务官和研究总监。他也是韦恩州立大学耳鼻喉科-头颈外科的副教授,并在奥克兰大学威廉博蒙特医学院和密歇根州立大学人类医学院共同任职。洪博士在哈佛大学获得本科学位,在加州大学欧文分校获得医学学位。他在爱荷华大学完成了耳鼻喉科住院医师,并在密歇根耳科研究所获得了耳部和颅底外科的认证奖学金。他是成人和儿童神经学、耳科、耳鼻喉科和颅底外科的认证医师。他拥有爱荷华大学的言语和听力科学博士学位,他的工作是提高人工耳蜗受者对噪音中的言语的理解。他还完成了由美国国立卫生研究院和多丽丝·杜克基金会赞助的研究奖学金。洪医生是美国耳鼻喉头颈外科学会、美国神经学会、耳硬化研究小组和密歇根耳鼻喉学会的成员。他是ANS社交媒体委员会主席,并担任密歇根耳鼻喉学会的当选总统。他曾担任多项临床研究的首席研究员,包括涉及梅尼埃氏病、耳鸣、耳硬化、人工耳蜗和其他植入式听力设备的研究。洪医生是密歇根州狮子会基金会Robert H. Mathog Lions听力中心的首席医疗主任,该基金会是一家慈善组织,致力于通过筛查、诊断、治疗、教育和研究为个人和社区提供听力相关服务,无论其支付能力如何。 他也是密歇根州狮子听力中心的前任主席和密歇根州耳科研究所狮子听力诊所的前任主任。
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引用次数: 0
Recent evidence of advanced preservation rhinoplasty. 先进保存鼻整形术的最新证据。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000896
Miguel G Ferreira, Mariline Santos

Purpose of review: The philosophy of preservation rhinoplasty originated 100 years ago. Many variations have appeared in the last 10 years, with different opinions emerging in the literature and scientific meetings.

Recent findings: New technological devices (piezo and diamond burs), new anatomical concepts (W and E-points, lateral and dorsal keystone area), and many new surgical strategies have led to a recent revolution in rhinoplasty.

Summary: Preservation rhinoplasty is a surgical strategy/philosophy that has gained popularity among rhinoplasty surgeons. Dorsal preservation rhinoplasty is the 'queen' of preservation rhinoplasty, and an array of surgeons' variations have come about. Ferreira et al. have proposed a classification for dorsal preservation rhinoplasty that splits it into foundation techniques and surface techniques. Foundation techniques are all techniques with impaction osteotomies - push or letdown; in this group, there is always a more minor or significant disruption between the skull and the nasal pyramid. Surface techniques are techniques that work on the surface of the nose (like the traditional structured approaches); in this group, there are no impaction osteotomies, so there is no disruption between the skull and the nose.

综述的目的:保存鼻整形术的理念起源于100年前。在过去的10年里,出现了许多变化,在文献和科学会议上出现了不同的观点。最近的发现:新的技术设备(压电和钻石毛刺),新的解剖学概念(W点和e点,外侧和背侧楔石区域),以及许多新的手术策略导致了鼻整形术的革命。摘要:保存鼻整形术是一种外科策略/理念,在鼻整形外科医生中得到了普及。背侧保存鼻整形术是保存鼻整形术的“女王”,并且出现了一系列外科医生的变化。Ferreira等人提出了一种背部保存鼻整形术的分类,将其分为基础技术和表面技术。基础技术是所有嵌塞截骨术的技术-推或放下;在这一组中,颅骨和鼻锥之间总是有一个更小或更明显的破坏。表面技术是在鼻子表面工作的技术(像传统的结构化方法);在这个组中,没有嵌塞式截骨术,所以头骨和鼻子之间没有中断。
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引用次数: 0
Environmental sustainability in otolaryngologic surgery. 耳鼻喉外科的环境可持续性。
IF 1.6 4区 医学 Q2 OTORHINOLARYNGOLOGY Pub Date : 2023-08-01 DOI: 10.1097/MOO.0000000000000888
Amanda E Dilger, Regan W Bergmark

Purpose of review: Climate change is an urgent public health crisis that significantly impacts disease development, health outcomes, and access to care. The major approaches to climate change are mitigation and adaptation. The purpose of this review is to discuss the effects of climate change on health and health disparities, review the carbon footprint of surgical care and discuss strategies for surgeons to reduce emissions and advocate for sustainability.

Recent findings: Recent studies increasingly demonstrate the direct and indirect health effects of climate change, including the relationship between climate and otolaryngologic disease. Within the domain of otolaryngology, we summarize findings related to climate change and health and healthcare delivery; health disparities; healthcare-associated emissions; and the role of otolaryngologists in mitigating and adapting to the climate crisis. There are many recent studies that identify impactful sustainability opportunities and initiatives for healthcare providers. Climate solutions may also reduce cost and have potential clinical benefits.

Summary: Climate change and air pollution directly impact disease burden in otolaryngology patients and are underrecognized social determinants of health. Surgeons can lead on climate change by implementing sustainability initiatives in the operating room and engaging in research and advocacy.

审查目的:气候变化是一场紧急的公共卫生危机,对疾病发展、健康结果和获得保健产生重大影响。应对气候变化的主要办法是减缓和适应。本综述的目的是讨论气候变化对健康和健康差异的影响,回顾外科护理的碳足迹,并讨论外科医生减少排放和倡导可持续性的策略。最近的发现:最近的研究越来越多地证明了气候变化对健康的直接和间接影响,包括气候与耳鼻喉疾病之间的关系。在耳鼻喉科领域,我们总结了与气候变化、健康和医疗保健服务相关的发现;健康差异;罹患卫生保健相关排放病;以及耳鼻喉科医生在缓解和适应气候危机中的作用。最近有许多研究为医疗保健提供者确定了有影响力的可持续性机会和举措。气候解决方案也可能降低成本并具有潜在的临床效益。总结:气候变化和空气污染直接影响耳鼻喉科患者的疾病负担,是未被充分认识的健康社会决定因素。外科医生可以通过在手术室实施可持续发展倡议,参与研究和宣传,来引领气候变化。
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引用次数: 1
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Current Opinion in Otolaryngology & Head and Neck Surgery
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