儿童上颌系带分型的年龄依赖性趋势

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-12-01 DOI:10.1016/j.ijporl.2024.112173

Alexandra F. Corbin , Lauren A. DiNardo , Deepthi S. Akella , Alison C. Ma , Douglas P. Nanu , Francesca C. Viola , Michele M. Carr

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引用次数: 0

摘要

目的探讨儿童上颌系带koflow评分。方法回顾性分析2022年3月- 12月1名外科医生在某儿科耳鼻喉科门诊就诊的0-19岁儿童的病历。纳入标准要求记录上颌系带koflow评分。收集的数据包括年龄、性别、种族/民族、koflow评分和上颌截骨史。结果共纳入570例儿童，其中女性267例（46.8%），男性302例（53.0%），变性男性1例（0.2%）。平均年龄为5.0岁（95% CI 4.6-5.4）。有上颌截骨史24例（4.2%），无上颌截骨史546例（95.8%）。在无上颌截骨史的患者中，Kotlow 1型21例（3.8%），Kotlow 2型127例（23.3%），Kotlow 3型261例（47.8%），Kotlow 4型137例（25.1%）。koflow分数随着年龄的增长而下降。既往行上颌截骨术的患儿，1级系带平均年龄为6.9岁，4级系带平均年龄为0.6岁（P= 0.008）。对于没有上颌截骨史的患者，1级系带平均年龄为8.7岁，4级系带平均年龄为1.3岁（p < 0.001）。上颌截骨史与较低的koflow评分无关联。结论近半数患儿有koflow - 3型上颌系带。Kotlow评分随着儿童年龄的增长而下降，反映了随着牙槽嵴的发育，系带插入升高。耳鼻喉科医生在考虑儿童上颌截骨手术时可能会发现这些数据很有价值。

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Age-dependent trends in pediatric maxillary frenum classification

Objective

To describe maxillary frenum Kotlow scores in a pediatric population.

Methods

A retrospective chart review was performed for children ages 0–19 years old seen at a pediatric otolaryngology clinic by one surgeon from March–December 2022. Inclusion criteria required a recorded maxillary frenum Kotlow score. Data collected included age, gender, race/ethnicity, Kotlow score, and history of maxillary frenotomy.

Results

570 children were included, comprising 267 (46.8%) females, 302 (53.0%) males, and 1 (0.2%) transgender male. Mean age was 5.0 years (95% CI 4.6–5.4). 24 patients (4.2%) had a history of maxillary frenotomy, while 546 (95.8%) did not. Among those with no maxillary frenotomy history, 21 (3.8%) had a Kotlow 1, 127 (23.3%) Kotlow 2, 261 (47.8%) Kotlow 3, and 137 (25.1%) Kotlow 4. Kotlow scores decreased with age. For children with prior maxillary frenotomy, class 1 frenum mean age was 6.9 years, and class 4 was 0.6 years (P=.008). For those without a maxillary frenotomy history, class 1 frenum mean age was 8.7 years, and class 4 was 1.3 years (P<.001). No association was found between maxillary frenotomy history and lower Kotlow scores.

Conclusion

Nearly half of children have a Kotlow 3 maxillary frenum. Kotlow scores decrease as children age, reflecting elevated frenum insertion as the alveolar ridge develops. Otolaryngologists may find this data valuable when considering maxillary frenotomy in children.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

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.