在患有裂口的患者中进行两次下整形手术后,喉功能发生变化:一项对162个连续病例的研究
Chun-Lin Su1, Betty C J Pai2, Shu-Hui Wang3
1From the Department of Plastic and Reconstructive Surgery.
Plastic and reconstructive surgery
|August 22, 2023
概括
裂患者的双正手术 (OGS) 可能会影响喉功能. 较大的上腺增长增加了OGS后喉功能恶化的风险.
科学领域:
- 面外科手术 面外科手术
- 整形手术 整形手术 整形手术
- 语音和语言病理学
背景情况:
- 整形手术 (OGS) 在裂口患者中纠正面部中部缺血症.
- 勒福特I大的提升可能会影响喉功能.
- 双OGS对裂患者喉功能的影响还未得到充分研究.
研究的目的:
- 为了研究2-jaw OGS对唇裂患者的耳鼻功能的影响.
- 为了确定风险因素,与变化velopharyngeal功能后-2-jaw OGS.
主要方法:
- 分析了162名口唇裂患者,他们接受了双OGS治疗.
- 进行了手术前和手术后的脑电测量测量.
- 通过感知分析和鼻镜检查评估了喉功能;逻辑回归确定了危险因素.
主要成果:
- 82.1%的人没有变化,3.7%的人改善,14.2%的人在2-jaw OGS后的喉功能恶化.
- 大上升量独立预测了喉功能恶化 (OR 1.74,P=0.004).
- 接收器运行特征曲线显示了对大上位的良好区别 (AUC 0.727).
结论:
- 虽然双OGS在裂患者中存在喉功能恶化的风险,但有些人可能会出现改善.
- 大进度的程度是OGS后喉功能的一个显著的负面预测指标.
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