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Chronic Cough Reflux Postnasal Drip Syndrome and the Otolaryngologist

机译:慢性咳嗽反流滴鼻后综合征和耳鼻喉科医生

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摘要

Objectives. Chronic cough is a multifactorial symptom that requires multidisciplinary approach. Over the last years, general practitioners refer increasingly more chronic cough patients directly to the otolaryngologist. The aim of this paper is to highlight the issues in diagnosis and management of chronic cough patients from the otolaryngologist perspective. Design. Literature review. Results. Gastroesophageal reflux and postnasal drip syndrome remain one of the most common causes of chronic cough. Better diagnostic modalities, noninvasive tests, and high technology radiological and endoscopic innovations have made diagnosis of these difficult-to-treat patients relatively easier. Multidisciplinary assessment has also meant that at least some of these cases can be dealt with confidently in one stop clinics. Conclusions. As the number of referrals of chronic cough patients to an Ear Nose Throat Clinic increases, the otolaryngologist plays a pivotal role in managing these difficult cases.
机译:目标。慢性咳嗽是需要多学科治疗的多因素症状。在过去的几年中,全科医生将越来越多的慢性咳嗽患者直接转诊给耳鼻喉科医生。本文旨在从耳鼻喉科医生的角度突出慢性咳嗽患者的诊断和治疗问题。设计。文献评论。结果。胃食管反流和鼻后滴漏综合征仍然是慢性咳嗽的最常见原因之一。更好的诊断方式,无创检查以及高科技的放射学和内窥镜创新使这些难以治疗的患者的诊断相对容易。多学科评估还意味着,至少其中一些病例可以在一站式诊所中得到自信处理。结论。随着慢性咳嗽患者转诊至耳鼻喉诊所的数量增加,耳鼻喉科医生在处理这些困难病例中起着关键作用。

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