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Updated: Jan 23, 2026
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Method of Studying Palatal Fusion using Static Organ Culture
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Flujo de trabajo holandés y belga para la inserción de tubos de ventilación en niños con paladar hendido: un estudio
Bachini Sofia1, Lodder Wouter2, Hoven D Rienk3
1Cleft Team North Netherlands, Department of Plastic and Reconstructive Surgery, Frisius Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Resumen
La mayoría de los centros de hendiduras holandeses y belgas utilizan exámenes de audiología y otorrinolaringología antes de la cirugía para la inserción de tubos de ventilación en niños con paladar hendido. Son comunes los protocolos locales, pero se necesita un enfoque unificado para una mejor atención.
Área de la Ciencia:
- Anomalías craneofaciales; Otorrinolaringología pediátrica
Sus antecedentes:
- La otitis media con efusión es común en niños con paladar hendido.; Las prácticas clínicas actuales para la inserción de tubos de ventilación (VTI) en estos niños varían.; Faltan protocolos estandarizados a nivel nacional e internacional.
Objetivo del estudio:
- Encuestar las prácticas clínicas actuales para la VTI en niños pequeños con paladar hendido (CP).; Evaluar las prácticas en los centros de hendiduras holandeses y belgas.; Identificar áreas para la estandarización de protocolos.
Principales métodos:
- Encuesta en línea transversal de equipos de hendiduras en los Países Bajos y Bélgica.; Los participantes incluyeron cirujanos de oído, nariz y garganta, cirujanos plásticos y logopedas.; La encuesta cubrió la evaluación audiológica, el momento de la VTI y la atención de seguimiento.
Principales resultados:
- 100% de respuesta de 11 centros de hendiduras, con un 44% de participación de especialistas.; 7/11 centros utilizan exámenes de audiología y otorrinolaringología para la indicación de VTI antes de la palatoplastia.; 9/11 centros combinan VTI con palatoplastia; 7/11 programan seguimientos de 2-3 meses.
Conclusiones:
- Los centros de hendiduras holandeses y belgas han desarrollado protocolos locales alineados para la VTI.; A pesar de las variaciones, las prácticas muestran un consenso considerable.; Se recomienda formalizar un protocolo escrito unificado para optimizar la atención.
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