在儿科初级状动力障碍中治疗中耳病的管理
Ethan G Muhonen1, Austin Zhu2, Sera Sempson3
1Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, CO, USA; Department of Pediatric Otolaryngology, Children's Hospital Colorado, Aurora, CO, USA.
患有原发性纤维动力障碍 (PCD) 的儿童经常出现中耳问题. 这项研究建议制定一项管理计划,以限制 tympanostomy 管的使用,并改善中耳炎与输出和听力损失的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科耳科 儿科耳科
- 遗传学 遗传学 是一个
背景情况:
- 主要的纤维状动力障碍 (PCD) 经常导致中耳疾病,包括从幼儿时期开始的中耳炎与溢出 (OME) 和导电性听力损失 (CHL).
- 在PCD患者中放置小口管 (TT) 带有慢性耳鼻和小膜穿孔的风险.
- 在PCD中OME和CHL的最佳管理策略仍然是正在进行的辩论的主题.
研究的目的:
- 建议和评估儿童诊断PCD的中耳疾病的管理方案.
- 为了比较患有和没有 tympanostomy管 (TT) 放置的患者之间的临床和听力学结果.
主要方法:
- 科罗拉多州儿童医院 (CHCO) 的儿科PCD队列的回顾性审查.
- 分析电子健康记录,重点关注中耳状态和听力学数据.
- 在四个年龄组中对结果进行比较,按TT状态分层 (无TT与TT).
主要成果:
- 在所有年龄类别中,在没有TT和TT组之间,正常的耳膜 (TM) 患病率或OME没有显著差异.
- 没有TT的子组在10至<15岁的年龄组中显示出更高的正常TM百分比 (p=0.006).
- 在15岁以上的年龄组中,在没有TT的子组中观察到耳朵听力损失较少 (p=0.008).
- 在TT小组中,13名受试者/耳朵中有9人经历了耳膜穿孔,共进行了130次TT和其他手术.
结论:
- 患有PCD的儿童表现出高频率的耳部并发症.
- 提出了一个管理方案,以明智地选择候选人进行TT安置.
- 拟议的方案旨在积极管理CHL并预防OME的不良后果,以改善临床结果.
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