儿科尤斯塔希管扩张手术的结果和并发症
Shraddha Mukerji1, Ana Maria Rosas Herrera2, Ryan Rochat3
1Department of Otolaryngology-Head Neck Surgery, Division of Pediatric Otolaryngology, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA.
概括
欧斯塔基管的气球扩张 (BDET) 在患有慢性欧斯塔基管功能障碍的儿童中显著改善了生活质量和听力学分数. 对于选定的儿科患者,BDET为传统治疗提供了一种安全有效的替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科耳科 儿科耳科
- 尤斯塔希安管的功能障碍
背景情况:
- 慢性尤斯塔希管功能障碍 (CETD) 显著影响儿童的生活质量.
- 传统的治疗方法,如小口管,也有其局限性.
- 一种新的方法,欧斯塔基管的气球扩张 (BDET),正在为儿科CETD探索.
研究的目的:
- 评估BDET在改善听力学和生活质量评分方面的疗效,在患有CETD的儿科患者中.
- 评估BDET作为对耳 tympanostomy 管的潜在替代品.
主要方法:
- 在第三级护理儿科中心进行的回顾性研究.
- 包括8岁以上的患者,有至少两次先前的输液管安置史.
- 收集的数据包括欧斯塔基管功能障碍生活质量调查 (ETDQ-7) 评分和 tympanogram (TD) 数据.
主要成果:
- 43名患者 (85个耳朵) 接受了BDET,平均年龄为13.3岁.
- 在BDET后观察到ETDQ-7得分的显著改善 (平均得分从3.9降至2.5,P<.0001).
- 60.7%的耳朵表现出改善的耳图结果,A型或B型耳图更有可能改善 (P < .0001).
结论:
- 对于患有慢性尤斯塔希管功能障碍的儿童患者来说,BDET是一种安全有效的治疗方法.
- BDET在生活质量和听力学结果方面都显示出显著的改善.
- 对于小儿CETD的管理,BDET提供了一个有前途的替代品,可以替代 tympanostomy 管.
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