在裂修复后,学龄儿童的听力,言语和语言结果
Benjamas Prathanee1,2, Netra Buakanok1, Tawitree Pumnum1
1Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Archives of craniofacial surgery
|November 6, 2024
概括
患有口腔裂的儿童通常会经历听力损失和言语问题,如背膜置换. 早期干预可以改善结果和生活质量.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 语音语言病理学 语音语言病理学
- 头骨面部异常 头骨面部异常
背景情况:
- 接受裂修复的儿童有听力问题的风险增加,包括导电性听力损失.
- 补偿性关节障碍 (CAD),共振问题和语音延迟也常见于手术后.
- 这项研究研究了这些挑战在患有口腔裂口或没有口唇裂口 (CP± L) 的儿童中的患病率和影响.
研究的目的:
- 确定患有CP±L.儿童的听力损失和特定补偿性关节障碍 (CAD) 的患病率.
- 为了研究CAD模式和超鼻性之间的相关性.
- 为早期干预方案的制定提供信息.
主要方法:
- 一项涉及38名儿童 (年龄为5-13岁) 患有CP±L.的横截面研究.
- 听力学评估包括听力图和 tympanograms.
- 语音语言病理学评估使用了标准化工具,如泰国语音参数对于口腔裂患者和关节查测试.
主要成果:
- 27.63%的参与者有听力损失,主要是导电性听力损失.
- 垂体置换是最常见的CAD,其次是鼻音声压力辅音和喉置换.
- 在CAD模式和超鼻性之间观察到中等相关性 (r=0.40-0.44,p<0.01).
结论:
- 导电性听力损失和垂体替代是这个人群中最常见的问题.
- 专注于听力和发音的早期干预方案可以改善学术成功.
- 应对这些挑战有助于长期改善CP±L儿童的生活质量.
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