耳科和听力学:患有口唇裂和/或口腔裂的患者的并发症,挑战和担忧
Abel M Smerica1, Rida Amer2, Joseph Edmonds2,3
1Smile Train, Inc. New York City, NY.
The Journal of craniofacial surgery
|June 11, 2024
概括
裂口患者面临更高的听力损失和语言问题的风险. 这篇评论强调了耳学和听力学.
科学领域:
- 耳鼻喉科,特别是耳科和听力学,专注于耳鼻口裂.
背景情况:
- 面腔裂是一种先天性疾病,大约每700名新生儿中就有1名患有,需要全面的多学科护理.
- 患有裂纹的患者由于病理状况的病理学而增加永久性听力损失和言语并发症的风险.
- 及时评估和管理相关疾病,如中耳炎与溢出,至关重要.
研究的目的:
- 审查耳学和听力学在治疗耳鼻裂患者中的作用.
- 讨论当前的做法,及时提供护理的挑战和管理中的争议.
- 突出进一步研究和宣传的需要,特别是在低收入和中等收入国家.
主要方法:
- 文献综述侧重于耳学和听力学方面或面孔裂护理.
- 讨论当前的临床实践,包括使用 tympanostomy 管和 palatoplasty 技术.
- 分析在不同经济环境中提供一致护理所面临的挑战.
主要成果:
- 裂纹患者需要专门的耳学和听力学管理,以应对听力损失和语言问题的风险.
- 关于小口管的最佳时间和使用,缺乏共识.
- 某些口腔整形技术对中耳炎具有显著的益处,具有输出,听力测量和语音结果.
结论:
- 综合性耳鼻喉治疗对于优化耳鼻口裂患者的治疗结果至关重要.
- 需要进一步的研究和标准化指导方针,特别是关于 tympanostomy 管的使用和 palatoplasty 的有效性.
- 提高认识和宣传对于改善服务不足地区获得护理的机会至关重要.
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