Long-term results and surgical indication of ventilating tube insertion during cleft palate surgery

IF 1.3 4区 医学 Q3 OTORHINOLARYNGOLOGY
Na-Kyum Park , Tae Suk Oh , Woo Seok Kang , Hong Ju Park , Jong Woo Chung , Joong Ho Ahn
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引用次数: 0

Abstract

Background

s: While ventilating tube insertion (VTI) is often performed, its necessity in cleft palate (CP) children without otitis media with effusin (OME) remains unclear.

Objective

We aim to reassess the safety of refraining from early VTI in CP children who do not have evidence of OME.

Methods

We retrospectively reviewed 1026 children with CP who underwent surgery at the Asan Medical Center (Jan 2000–Dec 2015). Among these, 69 patients (34 males, 35 females) had no history of otitis media and no middle ear effusion during preoperative endoscopic examination; they did not receive VTI. Factors such as age, gender, CP type, follow-up duration, and OME prevalence were analyzed.

Results

Of the 69 enrolled patients, the incomplete CP type was the most common (43.5 %). Only 5 (7.2 %) developed OME postoperatively, with the complete CP type being most frequent (60 %). One patient required VTI, while the remaining cases showed spontaneous resolution within six months.

Conclusions

Watchful waiting appears to be a safe approach for children with CP who do not exhibit preoperative OME. Despite a 7.2 % incidence of late-onset OME, male patients with complete CP may require closer monitoring.
腭裂手术中插入通气管的远期疗效及手术指征
背景:虽然经常进行通气管插入(VTI),但在没有积液性中耳炎(OME)的腭裂(CP)儿童中进行通气管插入(VTI)的必要性尚不清楚。目的:我们的目的是重新评估在没有OME证据的CP儿童中避免早期VTI的安全性。方法回顾性分析2000年1月至2015年12月在峨山医疗中心接受手术治疗的1026例CP患儿。其中69例(男34例,女35例)术前内镜检查无中耳炎病史,无中耳积液;他们没有接受VTI。分析年龄、性别、CP类型、随访时间、OME患病率等因素。结果69例入组患者中,不完全CP型最为常见(43.5%)。只有5例(7.2%)术后出现OME,其中完全CP型最常见(60%)。1例患者需要VTI,其余病例在6个月内自行消退。结论对于术前未出现OME的CP患儿,观察等待似乎是一种安全的方法。尽管迟发性OME发生率为7.2%,但完全CP的男性患者可能需要更密切的监测。
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来源期刊
CiteScore
3.20
自引率
6.70%
发文量
276
审稿时长
62 days
期刊介绍: The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.
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