在患有口腔裂的患者中确定耳膜支架管类型的中耳炎与输液:帕帕雷拉1型和2型管之间的比较
Jungho Ha1,2, Ga Young Gu1,2, Se Hyun Yeou1,2
1Department of Otolaryngology, Ajou University School of Medicine, Suwon 16499, Republic of Korea.
Journal of clinical medicine
|October 28, 2023
概括
对于口腔裂口患者来说,选择合适的耳管是非常重要的. 帕帕雷拉1型管用Sommerlad更好使用.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 听力学 听力学是指听力学.
背景情况:
- 带出血的中耳炎 (OME) 在患有口腔裂 (CP) 的儿科患者中很常见.
- tympanostomy管插入是管理OME在这个人群的一个标准程序.
- tympanostomy管类型的选择可能会影响CP患者的结果.
研究的目的:
- 为了比较不同类型的 tympanostomy 管类型 (Paparella 类型 1 与类型 2) 在儿科 CP 患者的疗效.
- 在CP手术期间为OME管理提供 tympanostomy管选择的指导.
- 根据管类型和外科手术技术来评估复发率,并发症和再插入需求.
主要方法:
- 一项前性研究涉及51名患有CP的儿科患者,他们同时接受了宫腔整形和 tympanostomy 管插入.
- 101个有OME的耳朵用帕帕雷拉1型或2型耳管进行了治疗.
- 对患者进行了至少6个月的随访,以评估OME复发,并发症 (例如,耳穿孔) 和重新安置率.
主要成果:
- 与2型 (19.4%) 相比,Paparella类型1管 (44.3%) 的OME复发率明显高于2型 (19.4%).
- 持久性鼓膜穿孔在2型管 (41.9%) 和1型 (12.9%) 之间更频繁.
- 管道再插入率在1型 (22.9%) 比2型 (3.2%) 高,但在Sommerlad的宫腔整形技术下显著下降 (8.6%),即使使用1型管道.
结论:
- 由于穿孔率较低,Paparella类型1管在接受Sommerlad的宫腔塑造技术的CP患者中可能是可取的.
- 在其他 palatoplasty 技术中可以考虑更大尺寸的 2 型管,以减少 OME 复发和重新插入频率.
- 管选择应根据手术技术和儿科CP患者的潜在并发症进行个性化选择.
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