通过动态和静态测试对接受腺切除术的儿童进行欧斯塔基管功能评估:一项前性临床研究
Sumeyra Doluoglu1, Aybuke Zuhal Gazeloglu1, Nilgun Ulger2
1University of Health Sciences Ankara Etlik City Hospital, Department of Otorhinolaryngology Head and Neck Surgery, Ankara, Turkey.
International journal of pediatric otorhinolaryngology
|July 15, 2025
概括
在儿童的腺切除术后,尤斯塔基功能障碍很常见,最初影响超过60%的患者. 然而,大多数病例在15天内消失,这表明手术对尤斯塔基管功能的暂时影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 听力学 听力学是指听力学.
背景情况:
- 腺囊缩是儿童常见的疾病,需要手术干预.
- 腺囊切除术是治疗腺囊缩症的标准手术.
- 尤斯塔基管功能障碍会影响中耳健康和听力结果.
研究的目的:
- 在腺切除术后立即和早期评估儿童的欧斯塔基管功能.
- 为了确定Eustachian功能障碍在腺切除术后的发生率和恢复模式.
- 用客观措施评估腺切除术对尤斯塔基管功能的影响.
主要方法:
- 一组年龄在4至14岁的患有腺囊缩症的儿童接受了腺囊切除术.
- 术前和术后 (1日和15日) 的评估包括耳 tympanometry (226Hz和1000Hz),欧斯塔基功能测试 (EFT) 和听力测量.
- 包括了手术前正常的欧斯塔希管功能患者.
主要成果:
- 手术后的第一天,超过60%的耳朵显示出尤斯塔基的功能障碍,无论探针的音频频率如何.
- 到术后第15天,在90%以上的受影响耳朵中,右侧和左侧都观察到欧斯塔基功能恢复.
- 统计分析显示,欧斯塔基功能恢复的p值显著 (p=0.0001).
结论:
- 尤斯塔基功能障碍是儿童腺切除术后常见的早期并发症.
- 大多数儿童在手术后15天内完全恢复了尤斯塔希管的功能.
- 这些发现表明,早期手术后的尤斯塔希骨功能障碍是短暂的,通常会自发消失.
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