在二次冲Z-Plasty和膜手术后的语音结果
Anika Szwedyc1, Suvi Alaluusua, Pia Vuola
1Cleft and Craniofacial Center, Helsinki University Hospital, Helsinki, Finland.
The Journal of craniofacial surgery
|May 26, 2025
概括
福洛Z整形和喉板是有效的治疗喉缺陷 (VPI) 在裂患者. 与喉皮相比,Furlow Z-plasty的并发症较少,如阻塞性睡眠呼吸暂停和较短的住院时间.
科学领域:
- 整形外科 整形外科 整形外科
- 语言病理学 语音病理学
- 儿科耳鼻喉科 儿科耳鼻喉科
背景情况:
- 耳鼻缺陷 (VPI) 是患有唇裂的患者常见的并发症,影响言语和生活质量.
- 手术纠正VPI的目的是恢复喉功能,但最优的技术仍在争论中.
- 毛Z整形和喉板都是VPI的既定程序,每个都有潜在的好处和缺点.
研究的目的:
- 为了比较不同类型裂患者的Furlow Z-plasty和VPI纠正膜手术的结果和成功率.
- 评估综合症状况 (非综合症,罗宾序列,综合症) 对这些手术干预的疗效的影响.
- 确定与每种手术方法相关的潜在并发症,包括残留VPI,阻塞性睡眠呼吸暂停和住院时间.
主要方法:
- 对377名患有裂的患者进行了回顾性分析,这些患者接受了Furlow Z-plasty (351名患者) 或膜 (26名患者).
- 评估结果分为三个组:非综合征,罗宾序列 (RS) 和综合征.
- 语音病理学家进行了术前和术后评估,以确定VPI校正成功率和发现并发症.
主要成果:
- 福洛Z整形证明了82%的VPI正成功率,其中12%需要重新手术. 综合征患者在Furlow Z-plasty后的VPI比率较高.
- 喉膜获得了81%的成功率,8%需要重新手术. 然而,12%的患者在手术后出现阻塞性睡眠呼吸暂停 (OSA).
- 与那些接受了Furlow Z-plasty的患者相比,经历了膜的患者在医院住院时间的中位数明显更长.
结论:
- 毛Z整形和喉板都是有效的手术选择,用于纠正裂患者的VPI.
- 毛Z整形与发展阻塞性睡眠呼吸暂停和更短的住院时间的风险较低有关.
- 喉膜,虽然有效,但带有OSA和长时间住院的风险,特别是在综合征患者群体中.
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