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2023专家共识声明:头颈癌患者吞咽困难的管理

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2023专家共识声明:头颈癌患者吞咽困难的管理-医知素材库
2023专家共识声明:头颈癌患者吞咽困难的管理
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AMERKCAN ACADEMY OFOTOLARYNGOLOGY-HEAD AND NECK SURGERYInvited ArticleFOUN DA T I ONOtolaryngology-Head and Neck SurgeryExpert Consensus Statement:2023.%L168(4571-5922023 American Academy ofManagement of Dysphagia in HeadOtobryngology-Head and NeckSurgery Foundation.DOL:10.1002/ohn.302and Neck Cancer Patientshttp://otojournal.orgWILEYMaggie A.Kuhn,MD,MAS',M.Boyd Gillespie,MD,MSc2,Stacey L.Ishman,MD,MPH3,Lisa E.Ishii,MD,MHS,Rebecca Brody,PhD,RD,CNSC5,Ezra Cohen,MD,FRCPSC,FASCO,Shumon I.Dhar,MD',Kate Hutcheson,PhD,Gina Jefferson,MD,Felicia Johnson,MD,Anais Rameau,MD,MPhil!,David Sher,MD,MPH,Heather Starmer,MA,CCC-SLP,BCS-S2,Madeleine Strohl,MD3,Karen Ulmer,MS,RN,CORLN4,Vilija Vaitaitis,MD5,Sultana Begum,MPHI6,Misheelt Batjargal,MD,MHA'5,and Nui Dhepyasuwan,MEd'6Abstractwarranted to address additional controversies related toObjective.To develop an expert consensus statement (ECS)dysphagia in HNC patients.on the management of dysphagia in head and neck cancer(HNC)patients to address controversies and offer oppor-tunities for quality improvement.Dysphagia in HNC wasDepartment of Otolaryngology-Head and Neck Surgery.University ofdefined as swallowing impairment in patients with cancers ofCalifornia Davis,Sacramento,California,USADepartment of Otolaryngology-Head and Neck Surgery,University ofthe nasal cavity,paranasal sinuses,nasopharynx,oral cavity,Tennessee Health Science Center,Memphis,Tennessee,USAoropharynx,larynx,or hypopharynx.3Department of Otolaryngology.Cincinnati Children's Hospital MedicalCenter,Cincinnati,Ohio,USAMethods.Development group members with expertise inDepartment of Otolaryngology-Head Neck Surgery.Johns Hopkinsdysphagia followed established guidelines for developing ECS.University Medical Institute,Cockeysville,Maryland,USAA professional search strategist systematically reviewed theSDepartment of Clinical and Preventive Nutrition Sciences,Rutgersliterature,and the best available evidence was used toUniversity.West Linn,Oregon,USAMoores Cancer Center at UC San Diego Health,La Jolla,California,USAcompose consensus statements targeted at providers mana-UT Southwestern Medical Center,Dallas,Texas,USAging dysphagia in adult HNC populations.The developmentDepartment of Head and Neck Surgery.Division of Surgery.The Universitygroup prioritized topics where there was significant practiceof Texas MD Anderson Center,Houston,Texas,USAvariation and topics that would improve the quality of HNCDepartment of Otolaryngology-Head Neck Surgery.Division of Head&Neck Surgical Oncology/Microvascular Reconstruction,University ofpatient care if consensus were possible.Mississippi Medical Center.Jackson,Mississippi,USAResults.The development group identified 60 candidate1ENT Ozarks,Springdale,Arkansas.USADepartment of Otolaryngology-Head and Neck Surgery.Weill Comellconsensus statements,based on 75 initial proposedMedicine,New York City,New York,USAtopics and questions,that focused on addressing the2Department of Otolaryngology-Head and Neck Surgery.S
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