儿童患者接受管切除术的结果
David Lehmann1, Ewen Chao1, Robert Saadi2
1Stony Brook University Hospital, New York, USA.
The Journal of laryngology and otology
|October 21, 2024
概括
儿科石头切除手术是有效的改善儿童的听力. 儿童体质指数较高可能预测手术后听力结果更好.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科耳科 儿科耳科
- 听力恢复手术 听力恢复手术
背景情况:
- 阶段性手术或阶段性切除术是一种常见的听力损失手术.
- 儿科患者的结果的记录不如成年人那么多.
研究的目的:
- 在21岁以下的患者中评估管切除术的结果.
- 为了确定影响小儿形手术手术成功的因素.
主要方法:
- 电子医疗记录的回顾性审查.
- 对在2013年至2020年间接受了形切除术的21岁以下患者的分析.
- 评估手术前和后的气骨间隙测量.
主要成果:
- 17名儿科患者 (20只耳朵) 接受了节节切除术.
- 平均空气与骨间隔从34.5dB提高到20.6dB (17dB的平均改善).
- 64%的患者达到了20dB或更低的空气与骨间隔.
- 在术前的BMI和术后的气骨间隙 (p=0.03) 之间发现了负相关性.
结论:
- 儿科管切除术是改善听力的一种安全有效的程序.
- 年龄与听力改善没有相关性.
- 手术前的身体质量指数是儿科患者手术后的气骨间隙的重要预测指标.
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