在儿科耳鼻喉科实践中,病理性痕的呈现,管理和结果
Alessandra Zaccardelli1, Jennifer L Harb2,3, Evangelos Papathanasiou4
1Department of Otolaryngology-Head and Neck, Tufts University School of Medicine, Boston, Massachusetts, U.S.A.
The Laryngoscope
|February 3, 2024
概括
识别为黑人或亚裔的儿科患者更容易分别出现耳朵和子痕. 耳部痕往往需要外科切除和多次治疗,以治疗状体或超性痕 (HTS).
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 皮肤病学 皮肤病学
- 医学研究 医学研究
背景情况:
- 痕,包括 keloids 和高性痕 (HTS),是儿童耳鼻喉科实践中一个常见的问题.
- 了解与痕呈现和结果相关的人口和临床因素对于有效管理至关重要.
研究的目的:
- 在儿科耳鼻喉科环境中分析痕谱.
- 调查患者种族,痕位置,治疗方法和儿科 keloids 和 HTS 的结果之间的关联.
主要方法:
- 追溯性队列研究,包括115名患有状体/HTS的儿科患者和141名接受桃体切除手术的儿科患者.
- 收集的数据包括年龄,性别,种族/民族,收入,痕位置,治疗细节和结果.
- 使用多变量分析来确定痕特征,干预措施和持久性之间的关联.
主要成果:
- 与对照组相比,患有痕的患者不成比例地是黑人 (26.6%) 或亚裔 (17.4%) 和男性 (61.7%).
- 黑人和亚洲儿童分别更有可能有耳朵和子痕.
- 耳部痕更常用切除术治疗,需要更多的干预 (>1次治疗).
结论:
- 儿科内和HTS的呈现存在种族差异,黑人和亚洲儿童更有可能呈现特定的痕位置.
- 儿科患者的耳部痕通常需要手术切除,并且可能需要多种治疗方法来解决.
相关概念视频
Esophageal Perforation-II: Clinical Manifestations and Management
64
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
64
Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K
Barrett Esophagus-II: Clinical Manifestations and Management
154
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
154


