在儿童上皮格洛托佩克西后吞功能
Ashley E Young1, Laura Hinkes-Molinaro2, Jonathan Ida3,4
1Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
概括
皮格洛托佩克西 (epiglottopexy) 是一种针对患有皮格洛托脱落的儿童的手术. 虽然通常是安全的,但在手术后,一些患者可能会出现新的或恶化的消化障碍,特别是那些患有并发症的患者.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 航空航道管理的管理.
背景情况:
- Epiglottopexy越来越多地用于儿科的表皮质和气道阻塞.
- 表皮膜在吞时的呼吸道保护中起着至关重要的作用.
- 重定位上衣可能会在脱过程中影响球体过渡.
研究的目的:
- 为了比较儿童的吞结果,在epiglottopexy之前和之后.
- 为了评估epiglottopexy关于吞功能的安全性和有效性.
主要方法:
- 在第三级护理儿童医院进行的回顾性队列研究.
- 数据收集自接受表皮透术的儿童患者病历,随后进行仪器吞评估 (2018年1月 - 2022年9月) 的数据.
- 包括38名儿童患者,平均年龄为41个月,许多患者患有并发症.
主要成果:
- 在epiglottopexy后,没有观察到吞开始或模式的显著变化.
- 7名 (18.4%) 患者经历了发作障碍的恶化 (新发作或恶化).
- 在大多数患者中,液体和食物的运输保持稳定或改善;没有发现导致缺食症恶化的危险因素.
结论:
- 在患有并发症的儿童中,特别是与其他呼吸道手术相结合时,表皮皮术可能与新的或恶化的呼吸障碍有关.
- 该程序通常是安全的,对整体吞机制没有显著的有害影响.
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