在裂口口腔手术期间插入通风管的长期结果和外科指示
Na-Kyum Park1, Tae Suk Oh2, Woo Seok Kang1
1Department of Otorhinolaryngology - Head & Neck Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea.
International journal of pediatric otorhinolaryngology
|July 31, 2025
概括
对于口腔裂 (CP) 和没有中耳炎 (OME) 的儿童,没有通风管插入 (VTI) 的警等待是安全的. 晚期发病的OME发生在7.2%的人群中,完全的CP和男性需要更密切的观察.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 面外科手术 面外科手术
- 听力学 听力学是指听力学.
背景情况:
- 气管插入 (VTI) 是常见的儿童与裂 (CP).
- 在没有出血性中耳炎 (OME) 的CP患者中,VTI的必要性尚未得到充分确立.
- 这项研究评估了在没有OME的CP儿童中保留早期VTI的安全性.
研究的目的:
- 确定在没有手术前OME的CP儿童中避免早期VTI的安全性和结果.
- 在这个特定的患者群体中评估晚发性OME的发病率.
- 识别术后发生OME的潜在风险因素.
主要方法:
- 对1026名经过手术的CP儿童 (2000-2015年) 的回顾性审查.
- 对69名没有OME病史或手术前中耳溢液的CP患者进行分析,这些患者没有接受VTI.
- 分析的因素包括CP类型,年龄,性别,随访时间和OME患病率.
主要成果:
- 在69名患者中,不完整的CP是最常见的类型 (43.5%).
- 手术后的OME发生在5名患者 (7.2%) 中,主要发生在完全CP患者 (60%) 中.
- 只有一个患者需要VTI;其他患者在六个月内自发消失.
结论:
- 警等待是没有手术前OME的CP儿童的安全策略.
- 晚发性OME的发病率为7.2%,表明需要仔细监测.
- 由于OME的风险较高,完全CP的男性患者可能受益于更密切的随访.
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