在初始口腔裂修复后,影响发言结果的患者因素:系统性审查和元分析
David C G Sainsbury1, Caroline C Williams1, Sophie Butterworth1
1Newcastle Cleft Lip and Palate Service, Newcastle upon Tyne Hospitals, Royal Victoria Infirmary, Newcastle Upon Tyne, UK.
概括
某些患者因素,如裂类型和综合征诊断,会影响裂 palatal 修复后的语言结果. 然而,证据质量较低,需要更好地收集数据以改善风险评估.
科学领域:
- 语音语言病理学 语言病理学
- 面外科手术 面外科手术
- 遗传学 遗传学 是一个
背景情况:
- 在裂口 palatal 修复后,喉功能对于言语至关重要.
- 患者特定的因素可能会影响言语结果.
- 之前的研究还没有全面确定这些因素.
研究的目的:
- 为了确定影响喉功能的患者因素,用于语音后初始裂口 palatal 修复.
- 综合关于这个主题的现有文献中的证据.
主要方法:
- 2018年之前发表的研究的系统审查和元分析.
- 包括383项研究,其中包括47658名接受初始宫腔整形的参与者的数据.
- 数据提取的重点是二次语音手术和耳鼻功能.
主要成果:
- 裂纹表型 (Veau I-IV),综合征诊断和罗宾序列与不同的二次手术和喉功能障碍率有关.
- 生物学性与更糟糕的语言结果之间没有发现任何显著的关联.
- 大多数研究质量低,随访时间有限.
结论:
- 特定的患者因素与口腔裂修复后的言语结果有关,但证据质量不佳.
- 需要高质量,前性,多中心的数据收集,以准确识别喉功能不充分的风险因素.
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