在腺切除术后患有阻塞性睡眠呼吸暂停的儿童上呼吸道结构的超声波变化
Che-Yi Lin1, Kun-Tai Kang2, Wen-Chin Weng3
1Department of Otolaryngology, National Taiwan University Hospital and Children's Hospital, Taipei, Taiwan; Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei, Taiwan; Sleep Center, National Taiwan University Hospital, Taipei, Taiwan.
概括
腺切除术增加了子的厚度,但超声波显示,阻塞性睡眠呼吸暂停的儿童上呼吸道缩性降低. 这些变化并不能预测儿科睡眠呼吸暂停的手术结果.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 睡眠医学 睡眠医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 腺囊缩是儿科阻塞性睡眠呼吸暂停 (OSA) 的主要原因.
- 显著的百分比的儿童经历持续的 polysomnographic 改变后adenotonsillectomy.
- 评估手术后的上呼吸道结构变化对于了解残留的OSA至关重要.
研究的目的:
- 在腺切除术后评估儿科上呼吸道结构的超声波变化.
- 调查这些超声波发现与睡眠参数之间的关联.
- 确定超声波测量是否可以预测小儿OSA手术结果.
主要方法:
- 55名患有睡眠呼吸障碍的儿童 (年龄小于18岁) 接受了多睡眠和上呼吸道超声波检查.
- 测量是在腺切除术前和3个月后进行的.
- 评估了口和侧壁厚度,包括在米勒机动过程中的变化.
主要成果:
- 口腔喉部厚度在腺切除术后显著增加 (p < 0.05).
- 在Müller操作期间,侧侧喉壁厚度和可折叠性下降,特别是在没有残留OSA的儿童中 (p <0.05).
- 超声波参数和手术后残留阻塞性睡眠呼吸暂停之间没有发现显著的关联.
结论:
- 腺切除术导致口腔喉部厚度增加.
- 超声波显示,手术后患有OSA的儿童上呼吸道缩性降低.
- 目前的超声波参数无法独立预测儿科阻塞性睡眠呼吸暂停的手术结果.
相关概念视频
01:30Tonsillitis I: Introduction
569
Tonsillitis is inflammation of the tonsils, which are two lymphoid tissue masses at the back of the throat. This condition can cause discomfort and irritation in the throat.
Etiology
Three primary contributing factors have been identified.
Etiology
Three primary contributing factors have been identified.
569
01:26Tonsillitis II: Management
177
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
177
01:23Chronic Pharyngitis
5.0K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
5.0K
01:29Suctioning the Nasopharyngeal Airway
968
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
968
01:21Sleep Apnea
221
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
221
01:29Anatomy of Respiratory System I: Upper Respiratory Tract
2.6K
The upper respiratory tract plays a vital role in the respiratory system, comprising several structures that facilitate air intake and prepare air for the lungs. It also serves as the first line of defense against pathogens and particles. This tract includes the nose and nasal cavity, the oral cavity, the paranasal sinuses, and the pharynx, each with specific functions and features.
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
Nose and nasal cavity
The nose and nasal cavity represent the main external openings of the respiratory tract....
2.6K