长期下增长的患者呼吸道阻塞治疗下分心治疗的患者
Maria Costanza Meazzini1, Alejandro Piza1, Novelli Giorgio1
1Department of Maxillofacial Surgery, University of Milano-Bicocca, IRCCS San Gerardo dei Tintori, Monza, Italy.
概括
部分心骨质生成 (MDO) 在皮埃尔·罗宾序列患者中有效治疗上呼吸道阻塞,显示稳定的长期结果和低并发症率. 这种手术干预显著增加了下长度,在保守方法失败时提供了可行的解决方案.
科学领域:
- 面外科手术 面外科手术
- 儿科耳鼻喉科 儿科耳鼻喉科
- 整形手术 整形手术 整形手术
背景情况:
- 先天性面形,特别是皮埃尔·罗宾序列中的下形低成形,是上呼吸道阻塞的重要原因.
- 部分心骨质生成 (MDO) 是一种主要的手术治疗持续的上呼吸道阻塞,对保守的管理没有反应.
研究的目的:
- 评估MDO在综合征和非综合征皮埃尔·罗宾序列患者的长期疗效和稳定性.
- 评估手术并发症和结果,包括下尺寸和痕外观.
主要方法:
- 在三个时间点进行横向X射线的纵向研究:手术前 (T1),MDO后 (T2) 和长期随访 (T3,≥5年).
- 用全景X射线和临床评估来监测并发症.
- 综合征和非综合征组之间的下巴尺寸的比较.
主要成果:
- MDO从T1到T2显著增加了下长度,在长期随访 (T3) 中观察到良好的稳定性.
- 与非综合症患者相比,患有综合症的患者表现出较小的基线下尺寸.
- 在随访期间没有记录任何重大手术并发症;痕结果是适度的,不需要修复手术.
结论:
- 在皮埃尔·罗宾序列患者中,MDO是一种稳定且有效的治疗上呼吸道阻塞,这些患者对保守疗法没有反应.
- 当经验丰富的外科医生进行该程序时,其并发症率很低,对下长度有持久的积极影响.
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