在患有口腔裂的患者中,关节喉膜整形术的长期结果
Madeline G Chin1, Yvonne Roca1, Kelly X Huang1
1Division of Plastic and Reconstructive Surgery, University of California Los Angeles, David Geffen School of Medicine, Los Angeles, CA, United States.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|November 11, 2023
概括
喉术改善了口腔裂口患者的言语,但显著增加了阻塞性睡眠呼吸暂停 (OSA) 的风险. 在这种手术后,对OSA的长期监测至关重要.
科学领域:
- 面外科手术 面外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
背景情况:
- 耳鼻缺陷 (VPI) 常见于唇裂 (CLP) 或隔离口腔裂 (iCP) 的患者.
- 喉造假术是一种治疗VPI的外科手术.
- 这个程序的长期结果需要进一步调查.
研究的目的:
- 为了评估关节喉膜整形术的长期疗效.
- 评估语音结果,修改手术的需要,以及手术后阻塞性睡眠呼吸暂停 (OSA) 的发生率.
主要方法:
- 追溯匹配的队列研究涉及166名接受了关节喉膜整形手术的患者和67名对照患者.
- 1992年至2022年间从两个面中心收集的数据.
- 分析包括语音结果,修订率和使用多变量回归的OSA发病率.
主要成果:
- 63.9%的患者在一次喉膜整形术后表现出言语改善,随访时间中位数为8.8年.
- 三分之一的患者需要修复手术.
- 手术后OSA的发病率从3%增加到14.5%,关节喉膜整形手术独立地与OSA风险增加四倍有关.
结论:
- 喉修复术有效改善VPI患者的长期言语结果.
- 阻塞性睡眠呼吸暂停 (OSA) 的发病率增加是一个显著的后果.
- 建议持续监测OSA超出直接的术后期.
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