在职儿科听觉外体清除协议的安全性和有效性
Dilan Prasad1, Glenn Isaacson1
1Departments of Otolaryngology-Head & Neck Surgery, and Pediatrics, Lewis Katz School of Medicine at Temple University, Philadelphia, USA.
The Laryngoscope
|February 18, 2025
概括
一项用于在办公室环境中去除儿科耳朵外体 (FB) 的新方案取得了96.4%的成功率. 这种安全有效的方法非常适合儿童,包括患有神经发育障碍的儿童.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科门诊护理 儿童门诊护理
背景情况:
- 儿科听觉外体 (FB) 是常见的.
- 移除办公室可能是一项挑战,尤其是在之前的尝试失败后.
研究的目的:
- 评估标准化办公室协议的安全性和有效性,用于儿科听觉FB去除.
- 评估这种方法的成功率和并发症概况.
主要方法:
- 22年来447个儿科病例的回顾性审查.
- 标准化的协议包括共享决策,克制和显微镜引导的移除.
- 失败定义为需要在麻醉下进行后续切除.
主要成果:
- 96.4%的FB (431/447) 在办公室成功地被移除.
- 只有3.6% (16/447) 需要移除手术室.
- 发生了两个轻微的耳道撕裂;没有报告严重的并发症.
- 在患有神经发育障碍的儿童中,失败的移除更为常见 (p=0.0001).
结论:
- 描述的协议是高度有效和安全的儿科听觉FB移除在办公室环境.
- 成功切除的比率仍然很高,即使对于以前尝试切除的儿童或神经发育障碍的儿童也是如此.
- 这种方法建议耳鼻喉科医生管理儿科患者.
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