根据临床报告,鼻镜术的患者合规率是多少?
Jessica L Chee-Williams1,2, Emma K Stewart3, Thomas J Sitzman1,4,5
1Phoenix Children's Center for Cleft and Craniofacial, Division of Plastic Surgery, Phoenix Children's Hospital, Phoenix, AZ, USA.
概括
患者对裂口口腔手术规划的鼻镜检查的遵从性往往是不够的. 至少有四分之一的报告显示不良合规性,限制了对大喉口的可视化.
科学领域:
- 整形外科 整形外科 整形外科
- 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:
- 鼻镜检查对于在口腔裂变患者中评估耳鼻缺陷 (VPI) 是至关重要的.
- 准确评估喉口对于手术规划至关重要.
研究的目的:
- 评估在临床报告中记录的鼻镜术期间患者遵守率.
- 为了确定合规性对喉端口成像质量的影响.
主要方法:
- 在13个北美裂口团队中进行了一项横截面研究.
- 数据来自3至21岁的患者的临床报告,这些患者的口腔裂已经修复,接受了鼻镜检查.
主要成果:
- 在81%的报告中记录了患者的合规性.
- 在65%的案件中报告了良好的/优秀的合规性,而16%的情况显示合规性很差.
- 不良的遵守与较少的成像评级相关,尽管在55%的这些案例中仍然提出了手术建议.
结论:
- 至少四分之一的鼻喉镜中存在严重的合规问题,限制了耳鼻口的成像.
- 一些裂口团队可能会在没有充分可视化喉解剖的情况下进行VPI手术.
- 改善患者的遵从性对于准确的VPI评估和手术规划至关重要.
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