5岁和12岁的口腔裂变患者的听力损失和评估标准化评估方法
Philip van der Goes1, Saranda Ombashi1, Sarah Versnel1
1Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center.
The Journal of craniofacial surgery
|April 24, 2025
概括
患有唇裂 (CP±L) 的儿童的听力评估显示,年幼的儿童和患有通风管或相关综合征的儿童的听力表现更差. 建议包括扩大听力学评估,以改善护理.
科学领域:
- 耳鼻喉科和面医学
- 儿童听力学和听力科学
背景情况:
- 唇裂 (CP±L) 显著影响儿童的健康,听力障碍是常见的并发症.
- 标准化结果测量,如国际健康结果测量联盟 (ICHOM) 设定的标准,对于在CP±L中持续的患者护理和研究至关重要.
- 了解不同裂倡议的听力评估变化对于优化诊断协议至关重要.
研究的目的:
- 根据ICHOM集,报告CP±L患者的听力评估结果.
- 分析影响听力值的因素,包括年龄,裂类型,通风管状况和遗传综合征.
- 将听力评估实践与其他主要裂倡议进行比较,并建议ICHOM集的改进.
主要方法:
- 对390名CP±L患者的听力数据的回顾性分析,年龄为5岁和12岁,在ICHOM集合 (2016-2023) 中进行了跟踪.
- 基于年龄,裂表型,性别,通风管 (VT) 插入,孤立的CP±L和相关综合征的纯色平均 (PTA) 差异的统计评估.
- 听力评估方法的比较综述,用于其他国际裂唇和 palatal 倡议.
主要成果:
- 5岁儿童 (15.31dB HL) 的PTA中位数明显高 (听力恶化),而12岁儿童 (10.0dB HL) 的PTA中位数明显高.
- 使用通风管的患者 (平均12.50 dB HL) 和患有与听力损失相关的综合征的患者 (平均17.81 dB HL) 的听力值比同行更差.
- 导电性听力损失 (CHL) 的患病率在5岁儿童中为35%,在12岁儿童中为15%.
结论:
- 年龄,通风管状况和相关综合征是影响CP±L儿童听力结果的重要因素.
- 目前的ICHOM设置协议可能会从改进中受益,包括扩展频率评估,空气/骨传导,鼓膜测量和3岁左右的早期评估.
- 将听力评估策略与其他倡议结合起来,可以改善早期检测和管理这一群体的听力损失.
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