关键词: antitubercular therapy diagnosis multidisciplinary treatment otorhinolaryngologic manifestations public health tuberculosis

来  源:   DOI:10.7759/cureus.64586   PDF(Pubmed)

Abstract:
Tuberculosis (TB) is a significant global health issue, predominantly affecting the lungs but also capable of involving the otorhinolaryngologic (ear, nose, and throat) regions. This comprehensive review explores the epidemiology, pathophysiology, clinical presentation, diagnostic challenges, management strategies, and public health implications of otorhinolaryngologic TB. The disease\'s diverse clinical manifestations, such as chronic ear discharge, nasal obstruction, and hoarseness, often mimic other common conditions, complicating diagnosis and delaying treatment. Diagnostic confirmation requires a combination of clinical assessment, laboratory tests, and imaging techniques, each with inherent limitations. Effective management necessitates a multidisciplinary approach, integrating medical and surgical interventions tailored to individual patient needs. Potential complications, including airway obstruction and hearing loss, highlight the importance of timely and appropriate treatment. The review underscores the critical role of public health measures in TB control. It also identifies emerging trends in diagnosis and treatment, emphasizing the need for ongoing research to improve patient outcomes and contribute to the global effort to control and eventually eradicate TB. This review aims to give healthcare providers a deeper understanding of otorhinolaryngologic TB, enhancing diagnostic and therapeutic approaches and improving patient care.
摘要:
结核病(TB)是一个重要的全球健康问题,主要影响肺部,但也能够累及耳鼻喉科(耳,鼻子,和喉咙)区域。这篇全面的综述探讨了流行病学,病理生理学,临床表现,诊断挑战,管理策略,耳鼻咽喉结核对公共卫生的影响。该病临床表现多样,比如慢性耳朵分泌物,鼻塞,声音嘶哑,经常模仿其他常见条件,复杂的诊断和延迟治疗。诊断确认需要结合临床评估,实验室测试,和成像技术,每个都有固有的局限性。有效的管理需要多学科的方法,整合医疗和外科干预措施,适合个人患者的需求。潜在的并发症,包括气道阻塞和听力损失,强调及时适当治疗的重要性。该审查强调了公共卫生措施在结核病控制中的关键作用。它还确定了诊断和治疗的新兴趋势,强调需要进行持续的研究,以改善患者的预后,并为控制和最终根除结核病的全球努力做出贡献。这篇综述旨在让医疗保健提供者更深入地了解耳鼻喉科结核病,加强诊断和治疗方法,改善病人护理。
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