巨和手术和临床管理的现有证据
Jenna Thuman1, Kasparas Zilinskas2, Alexander Hoey1
1Division of Plastic Surgery, Medical University of South Carolina, Charleston, SC.
The Journal of craniofacial surgery
|September 18, 2025
概括
在儿童中,手术减少巨光缺少标准化技术和结果. 本次审查强调了不一致的报道和需要在诊断,治疗和手术方法上达成共识,以获得更好的儿科护理.
科学领域:
- 儿科手术 儿科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语言病理学 语音病理学
背景情况:
- 巨,或扩大的舌头,在儿科患者提出了重大挑战.
- 对于儿科巨的治疗策略和外科治疗结果仍有不一致的定义.
研究的目的:
- 系统地审查当前关于儿童原发性巨病的临床和手术管理的文献.
- 分析术后的结果,包括语音,食和呼吸道功能.
主要方法:
- 根据PRISMA指南,对1995年至2024年间发表的研究进行了系统审查.
- 搜索术语包括"光学切除术"",儿童"和"宏光学".
- 研究评估了证据水平,手术技术,并发症和手术前后评估.
主要成果:
- 在1566项研究中,选择了74项. 常见的症状包括气道阻塞 (37.8%) 和正牙变化 (46%).
- 钥匙孔 (23.3%) 和前尖 (14.9%) 是常见的外科手术技术. 在言语,食和呼吸道阻塞方面注意到术后改善.
- 报告的并发症包括失踪 (13.5%) 和复发 (17.6%).
结论:
- 这一综合性审查揭示了对巨光病诊断,手术时间,技术和辅助治疗缺乏共识.
- 之前的研究往往缺乏质量,报告结果不一致,并且长期跟踪有限.
- 手术缩小技术的标准化和结果报告对于改善儿科巨症管理至关重要.
相关概念视频
Esophageal Strictures-II: Clinical Features and Management
439
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
439
Barrett Esophagus-II: Clinical Manifestations and Management
802
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
802
Gastroesophageal Reflux Disease II: Clinical Features and Management
705
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
705
Mitral Stenosis III: Medical Management
247
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
247


