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在资源有限的环境中,患有唇裂患者的听力结果
Kanachai Boonpiraks1, Yanin Nawachartkosit1, Nattayaporn Charunruengterakul2
1Faculty of Medicine, Thammasat University, Khlong Luang, Pathum Thani, Thailand.
在患有唇裂的儿童中,早期插入 tympanostomy 管显著改善了听力结果,从而在较年轻时获得正常听力. 这种方法在资源有限的环境中有利.
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:
- 中耳溢出和听力损失是患有唇裂的儿科患者的常见并发症.
- 及时干预对于这种人群的最佳听力发展和语音获取至关重要.
- 听力学服务的资源限制可能会影响干预的时间和有效性.
研究的目的:
- 为了比较早期和晚期 tympanostomy 管插入之间的听力结果,在患有口唇裂和裂的患者.
- 评估时间对正常听力和听力恢复率的年龄的影响.
- 评估二次结果,包括并发症率和住院时间.
主要方法:
- 追溯性队列研究包括76名患有裂口异常的18岁以下患者,他们接受了小 tympanostomy管插入.
- 根据输管安置时间,患者被分为早期 (≤3个月) 和晚期组.
- 分析了听力结果,并发症率和住院时间.
主要成果:
- 早期的 tympanostomy 管放置与更高的正常听力率相关 (100%与75%相比).
- 早期组的患者在显著更年轻的年龄 (11个月与19个月) 实现了正常听力.
- 虽然术后并发症如耳在早期组中更频繁,但这些差异在统计学上并不显著.
结论:
- 在儿科口唇裂患者中,早期插入 tympanostomy 管导致听力结果的改善,并更早地实现正常听力.
- 这一策略为资源有限的环境提供了可行的选择,声学支持有限.
- 建议进行进一步的研究,以探索长期的语音发育和成本效益.
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