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CLAPP分类方案和治疗算法用于下裂 palatus 的治疗算法
Muhammad Daiem1,2, Farrukh Aslam Khalid3, Marvee Turk4
1CLAPP Hospital, Lahore, Pakistan.
概括
在89.9%的患者中,下裂口 (SMCP) 的新分类和治疗算法显著改善了语音结果. 这种标准化的方法提高了SMCP管理的外科结果.
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:
- 下裂口 (SMCP) 存在诊断和管理方面的挑战.
- 缺乏标准化的分类和治疗算法可能导致手术结果变化.
- 对话的客观评估对于评估SMCP患者治疗疗效至关重要.
研究的目的:
- 引入一种新的分类方案和治疗算法,用于下沟口腔 (SMCP).
- 标准化患者管理,改善SMCP的外科治疗结果.
- 评估拟议的分类和算法的语音改善和并发症率的有效性.
主要方法:
- 在2015年至2023年期间管理的252名SMCP患者的回顾性审查.
- 根据 zona pellucida 的范围和口腔长度进行分类.
- 量身定制的外科干预包括中线切口,Von Langenbeck技术, palatal延长,和喉膜.
主要成果:
- 观察到显著的语言改善,89.9%的患者从中度/严重转变为轻度鼻.
- 喉皮手术显示,语言表现的统计学上显著改善 (p < .001).
- 手术后囊形成发生在8.7%的病例中,与现有文献一致.
结论:
- 拟议的SMCP分类方案和处理算法为标准化管理提供了实际框架.
- 预计该框架的实施将改善下裂 palatus患者的术后结果.
- 进一步的研究可以验证和完善这种方法,以便更广泛的临床应用.
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