解化困境 - - 在儿童头骨脸部形症中切除气管的时间 - - 一项回顾性研究
1Department of Oral and Maxillofacial Surgery, Balaji Dental and Craniofacial Hospital, Chennai, Tamil Nadu, India.
Annals of maxillofacial surgery
|August 26, 2024
概括
带有气管切除术的六岁以下儿童在脱后更好地适应. 对面形的早期干预有助于言语和吞恢复,而年长的孩子可能需要更多的支持.
科学领域:
- 儿科手术 儿科手术
- 面外科手术 面外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在儿童的气管切除术decanulation与面形 presents独特的挑战.
- 呼吸道阻塞和发育的大脑因素使这个过程复杂化.
研究的目的:
- 为了根据气管管切除术时的年龄和管切除术的持续时间来比较管切除的结果.
- 确定长期气管切除术儿童脱管的最佳时间.
主要方法:
- 对12名面部形儿童进行了回顾性研究,这些儿童正在接受脱术.
- 儿童按气管切除插入时的年龄分组: ≤6岁 (n=7) 和 >6岁 (n=5).
主要成果:
- 所有的脱都取得了成功;轻微的气管和下喉狭窄症得到了控制.
- 6岁以下的儿童在吞和说话方面表现出更好的术后适应能力.
- 较年轻儿童的早期,延长的气管切除术有助于更容易的脱后适应;对于年长的儿童来说,社会互动是具有挑战性的.
结论:
- 气管切除术的时间和持续时间显著影响脱术后的适应.
- 早期气管切除术可能有助于获得技能 (说话,吞) 以便更容易康复.
- 综合护理是必不可少的,特别是对于年长的孩子,考虑到神经可塑性和心理调整.
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