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在一个学术中心的口腔裂儿童的二次耳鼻手术的特征
Lauren E Williamson1, Krishna G Patel2, Matthew H Cheung2
1Medical University of South Carolina, College of Medicine, Charleston, South Carolina, USA.
The Laryngoscope
|February 5, 2026
概括
诸如种族和保险等因素影响了初级宫腔整形术后喉功能缺陷的二次手术. 亚洲种族增加了赔率,而私人保险降低了赔率,影响了治疗需求.
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:
- 背缺陷 (VPI) 是一个常见的并发症后,初级palatoplasty在儿童口腔裂.
- 二次手术干预通常是必要的,以解决持久的VPI.
- 确定二次手术的预测因素对于优化患者的治疗结果和资源配置至关重要.
研究的目的:
- 调查与需要进行二次手术纠正VPI后初级palatoplasty相关的临床和社会人口因素.
- 为了确定需要一次或多次二次喉手术的风险因素.
主要方法:
- 在2014年至2024年期间,对251名接受初级口腔整形手术的儿童进行了回顾性评估.
- 数据收集包括人口统计,临床特征和二次喉外科手术结果.
- 用单变量和多变量逻辑回归分析来确定重要的预测因素.
主要成果:
- 10.8%的儿童 (27/251) 需要进行二次VPI手术.
- 亚洲种族与二次手术的几率增加有关 (OR=5.853),而私人保险与几率降低有关 (OR=0.230).
- 22q11.2微删除综合征预测需要两次手术,而女性性别与一次手术有关.
结论:
- 临床和社会人口统计学因素显著预测二次喉外科手术需要后palatoplasty.
- 不同的风险因素与需要单个或多个次要程序有关.
- 需要进一步的研究来验证这些发现,并为临床风险分层和咨询提供信息.
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