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隔离罗宾序列与隔离裂 palatal 患者的口腔裂 palatal 修复后的耳鼻缺陷:一个系统的审查
N A T Sullivan1,2, V Sijtsema1, N Lachkar1
1Amsterdam University Medical Centers, location University of Amsterdam, department of Plastic Surgery.
JPRAS open
|September 18, 2024
概括
隔离罗宾序列 (IRS) 和隔离口腔裂 (ICP) 患者的言语结果看起来相似,在喉无能 (VPI) 或需要言语纠正手术 (SCS) 中没有显著差异. 为了更清晰的比较,建议使用标准化协议进行进一步的研究.
科学领域:
- 面外科手术 面外科手术
- 语音语言病理学 语言病理学
- 儿童整形手术 儿童整形手术
背景情况:
- 罗宾序列 (RS) 涉及微,光光和呼吸道阻塞,通常与口腔裂有关.
- RS对喉无能症 (VPI) 和言语结果的影响尚不清楚.
- 这项研究比较了孤立罗宾序列 (IRS) 与隔离裂 palates (ICP) 的语音结果.
研究的目的:
- 系统地审查和比较孤立罗宾序列 (IRS) 与隔离裂 palates (ICP) 的患者的语言结果.
- 为了评估两组人体之间的喉无能 (VPI) 和需要进行语音纠正手术 (SCS) 的差异.
主要方法:
- 使用PRISMA指南 (PubMed,EMBASE) 进行系统的文献搜索.
- 包括在IRS或IRS与ICP患者中报告语音术后发言结果的研究.
- 收集关于VPI,SCS和方法质量的数据 (MINORS标准).
主要成果:
- 美国国税局的VPI事件率为14-88%,ICP为0-62%;67%的比较研究没有发现显著差异.
- 美国国税局的SCS比率在0-48%,ICP比率在0-24%之间;67%的比较研究没有发现显著差异.
- 综合VPI利率: 36.1% (IRS) 与26% (ICP) 相比; 综合SCS利率: 20% (IRS) 与13% (ICP) 相比.
结论:
- 语音结果,包括VPI和SCS率,在IRS和ICP患者之间看起来很相似.
- 在IRS和ICP集团之间始终没有发现VPI或SCS的显著差异.
- 需要一个标准化的国际协议,以便在这些患者群体之间进行更强大的比较.
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