口腔喉缩症的模式与面微观症相关
Laura Brooks1, Sean Evans2,3, Robert Hill4
1Rehabilitation Department, Children's Healthcare of Atlanta, Atlanta, GA.
The Journal of craniofacial surgery
|September 22, 2025
概括
面显微症 (CFM) 患者经常经历口腔喉功能障碍,影响吞. 视频光镜吞研究 (VFSS) 揭示了常见的口腔和喉损伤,需要仪器评估才能有效治疗.
科学领域:
- 儿科医学 儿科医学 儿科医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 面显微症 (CFM) 是一种先天性疾病,导致下缺血,面部不对称以及潜在的气道/口腔问题.
- CFM可能导致吞障碍,影响吞功能.
- 这项研究调查了CFM患者在所有严重程度的口腔喉功能障碍.
研究的目的:
- 在面微观症 (CFM) 患者中描述口腔喉乱的患病率.
- 分析CFM患者的视频光镜吞研究 (VFSS) 数据.
- 识别口腔和喉乱的模式,以指导评估和治疗.
主要方法:
- 在2015-2021年期间诊断出CFM的18名患者 (0-18岁) 的回顾性图表审查.
- 使用普鲁赞斯基-卡班分类 (PKC) 评估严重程度;VFSS用透志向量表 (PAS) 获得分数.
- 评估了口腔/喉损伤和功能性口服摄入 (FOIS).
主要成果:
- 14/18名 (78%) 患者有右侧参与;10/12名 (83%) 接受过多睡眠监测的患者有阻塞性睡眠呼吸暂停.
- 常见的口腔障碍:唇部泄漏 (67%),玻尿酸控制不良 (83%).
- 喉残留 (94%),喉透 (50%) 和吸入 (44%) 是常见的;50%的人在VFSS后表现出养状况的变化.
结论:
- 所有CFM的严重程度都表现出口腔和喉不消化症,包括受损的玻尿管控制和吸入风险.
- 仪器评估 (VFSS) 对CFM患者至关重要.
- VFSS有助于确定改善养结果的具体干预措施和策略.
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