影响接收重复通风管插入的因素 裂 palatus 的儿童
Thanakit Malaikritsanachalee1, Vannipa Vathanophas1, Sarut Chaisrisawadisuk2
1Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
概括
患有裂的儿童需要反复插入通风管 (VTI) 进行中耳炎与输出 (OME) 的中耳炎往往有厚厚的中耳液,鼓膜收缩或听力损失. 一个新的评分系统有助于预测这种风险.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 听力学 听力学是指听力学.
背景情况:
- 带出血的中耳炎 (OME) 常见于 palatal cleft (CP) 的儿童.
- 输入通风管 (VTI) 是该群体OME的标准治疗方法.
- 识别重复VTI的因素对于优化管理至关重要.
研究的目的:
- 为了确定反复插入通风管 (VTI) 的预测因子,在患有裂 (CP) 的儿童中.
- 开发一种风险预测评分系统,用于中耳炎与输液 (OME) 的CP患者的VTI重复.
主要方法:
- 对127名患有CP的儿童进行了回顾性队列研究,这些儿童接受了VTI和宫腔塑造手术.
- 分析了十个潜在的风险因素,包括中耳液类型, tympanic膜 (TM) 状态和听力水平.
- 后勤回归用于开发预测得分系统.
主要成果:
- 厚厚的中耳液体 (OR 3.18),TM收缩 (OR 4.06),和前膜切除术听力水平>40dB (OR 3.50) 是重复VTI的独立预测因素.
- 一个评分系统 (0-4分) 证明了可接受的预测歧视 (AUC = 0.732).
结论:
- 患有TM收缩,中间耳液厚度或严重听力损失的儿童面临更高的风险,需要重复VTI.
- 开发的评分系统有助于早期风险识别,咨询和有针对性的随访,以改善中耳患者的中耳结果.
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