在患有裂的患者中,术后喉功能的发展
Karim Ahmed Sakran1, Shiming Zhang2, Nan Chen3
1State Key Laboratory of Oral Diseases and National Clinical Research Center for Oral Diseases, and Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, Sichuan, 610041, China; Department of Oral and Maxillofacial Surgery, College of Dentistry, Ibb University, Yemen.
International journal of pediatric otorhinolaryngology
|June 17, 2023
概括
裂口口腔手术后喉功能 (VPF) 得到改善,手术时年龄较小,随访时间较长,对VPF的发展和诊断确认产生积极影响.
科学领域:
- 整形外科 整形外科 整形外科
- 语音语言病理学 语言病理学
- 儿科医学 儿科医学
背景情况:
- 口腔裂往往导致耳鼻缺陷 (VPI),影响言语.
- 主要口腔整形是裂口口腔的标准手术干预.
- 了解手术后的VPF发展对于患者的治疗结果至关重要.
研究的目的:
- 在初级宫腔塑造术后分析喉功能 (VPF) 的演变.
- 确定影响VPF发展和诊断一致性的因素.
主要方法:
- 对188名 palatal cleft (CP ± L) 的患者进行了回顾性分析,这些患者接受了palatoplasty.
- 在两个时间点 (T1,T2) 进行术后的VPF评估,将VPF分为正常,轻度VPI或中度/重度VPI.
- 评估T1和T2之间的VPF一致性,分析年龄,随访时间和语音记录等因素.
主要成果:
- VPI比率从T1的48.4%显著下降到T2的27.1%,正常的VPF从44.7%增加到68.1%.
- 73.4%的患者在随访点之间表现出一致的VPF评估.
- 较年轻的手术年龄,更长的随访时间和更好的语音分数与一致的VPF有关.
结论:
- 随着时间的推移,随着palatoplasty后的 Velopharyngeal 功能显示出显著的变化和改善.
- 早期手术干预 (年龄较小) 与更可靠的初始VPF评估相关.
- 足够的后续持续时间对于确认VPF状态和诊断至关重要.
相关概念视频
Suctioning the Oropharyngeal Airway
269
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
269
Suctioning the Nasopharyngeal Airway
541
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
541
Tracheostomy Care I: Pre-procedural Steps
257
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
257
Larynx
1.7K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.7K
Deglutition
2.1K
Swallowing, otherwise known as deglutition, facilitates the transport of food from the mouth to the stomach. It is a multifaceted process that involves both the tongue and the muscles of the throat and esophagus. Saliva and mucus aid in this process, which takes approximately 4 to 8 seconds for semi-solid or solid food and around 1 second for liquids or very soft food.
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
Swallowing can be divided into three stages: the voluntary phase, the pharyngeal phase, and the esophageal phase. Although the...
2.1K
Tracheostomy Care II: Procedure
257
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
257


