主要手术类型和手术后耳鼻功能在患有下裂 palatus 3岁及以上的患者
Masafumi Kamata1, Makoto Hikosaka1, Tsuyoshi Kaneko1
1Division of Plastic Surgery, National Center for Child Health and Development, Setagaya-ku, Tokyo, Japan.
The Journal of craniofacial surgery
|September 18, 2025
概括
这项研究发现,口腔整形和喉手术对3岁以上儿童的下裂口 (SMCP) 有效. 精神障碍被确定为影响喉皮手术结果的一个因素.
科学领域:
- 面外科手术 面外科手术
- 儿科耳鼻喉科 儿科耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 下裂 palatal (SMCP) 管理缺乏标准化手术标准和最佳时间.
- 口腔整形和喉膜是SMCP的主要手术干预措施.
研究的目的:
- 评估在3岁以上的SMCP患者中,在宫腔整形和喉膜之间进行选择的外科标准.
- 为了确定影响术后喉功能和发音错误的因素.
主要方法:
- 追溯对37名SMCP患者的回顾,这些患者接受了宫腔整形或喉.
- 统计分析包括性别,年龄,手术方法和并发症 (精神障碍,聋,综合征) 在内的因素.
- 在手术后1年内评估喉功能和关节错误.
主要成果:
- 在口腔整形和喉组之间,有利的结果没有显著差异.
- 精神障碍与喉皮组中较差的喉功能有显著的关联.
- 在3岁以上的SMCP患者中,这两种手术方法在一年内实现了足够的喉功能.
结论:
- 该研究的选择宫腔整形或喉膜的标准适用于SMCP患者,诊断年龄在3岁或以上.
- 脑 retardation 是一个潜在的预后因素,为后喉皮手术喉功能不充分.
- 这两种手术技术都有效地改善了SMCP受试者群体的喉功能.
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