罗宾序列的儿童的言语结果,这些儿童使用了先先状棒板进行治疗
Gül Schmidt1, Nora Engeli1, Carsten Matuschek1
1Department of Oral and Maxillofacial Surgery, Charité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany.
概括
在罗宾序列 (RS) 的婴儿中,定制的先发性棒板 (PEBP) 治疗使口腔裂缩小了40%以上. 这种干预导致幼儿的言语表现良好,减少过鼻和发音错误.
科学领域:
- 面外科手术 面外科手术
- 儿科耳鼻喉科 儿科耳鼻喉科
- 语言病理学 语音病理学
背景情况:
- 罗宾序列 (RS) 是一种先天性疾病,其特征是微,光和呼吸道阻塞.
- 口腔裂是一种与RS相关的常见口腔面部异常,影响言语和食.
- 目前对RS相关的口腔裂的管理策略旨在改善解剖结构和功能结果.
研究的目的:
- 为了评估定制的预先先性棒板 (PEBP) 在罗宾序列儿童的口腔裂管理中的有效性.
- 分析PEBP对裂形状变化和语音结果的影响.
主要方法:
- 对25名RS患者进行了回顾性分析,这些患者接受了PEBP和初级裂 palatal修复治疗.
- 数字模型被用来测量PEBP使用前后的隙宽度变化.
- 语音评估是在3.5到4.5岁时进行的,评估了超鼻性,鼻腔排放和发音.
主要成果:
- 在患有硬口腔和软口腔的婴儿中,PEBP治疗导致裂宽度平均减少41.30%.
- 在治疗后,96%的儿童表现出缺席或轻微的鼻.
- 在56%的儿童中观察到关节错误,其中有一小部分儿童表现出裂类型的特征.
结论:
- 在手术修复之前,定制的PEBP有效地缩小了RS患者的口腔裂.
- 对PEBP的早期干预与RS和口腔裂的幼儿的言语发展有关.
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