小颌畸形婴儿的短期和四年喂养和呼吸结局。

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-04-12 DOI:10.1038/s41372-025-02224-1

Kuan-Chi Lai, Laura M Walker, Kevin Moran, Jordan W Swanson, Jesse A Taylor, Janet Lioy, Christopher M Cielo

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引用次数: 0

摘要

目的：描述四岁前被评估为小颌畸形的婴儿出院时和最近一次随访时的喂养和呼吸结果。研究设计：单中心回顾性分析218例婴儿期先天性小颌畸形患者。结果基于治疗（药物治疗、下颌牵张成骨或气管切开术）进行比较，也基于综合征状态进行比较。结果：出院时需要管饲的婴儿占81%，随访时需要管饲的婴儿占41%。32%的患者在出院时需要呼吸支持，22%的患者在随访时需要。药物治疗与下颌骨牵张成骨在出院和随访时的喂养和呼吸支持方面无差异。气管切开术在出院和随访时均与更多的管饲和呼吸支持有关。遗传综合征更可能需要管饲和呼吸支持。结论：长期喂养和呼吸支持在住院小颌畸形患儿中是常见的。

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Short-term and four-year feeding and respiratory outcomes of infants with micrognathia.

Objective: To describe feeding and respiratory outcomes at discharge and at the most recent follow-up visit prior to four years old in infants evaluated for micrognathia.

Study design: Single-center retrospective analysis of 218 patients admitted and evaluated with congenital micrognathia during infancy. Outcomes were compared based on treatment (medical, mandibular distraction osteogenesis, or tracheostomy), and also compared based on syndromic status.

Results: Tube feeding was required by 81% of infants at discharge and 41% at follow-up. Respiratory support was required by 32% at discharge and 22% at follow-up. There were no differences in feeding and respiratory support at discharge and at follow-up between medical treatment and mandibular distraction osteogenesis. Tracheostomy was associated with more tube feeding and respiratory support at both discharge and at follow-up. Genetic syndromes were more likely to require tube feeding and respiratory support.

Conclusion: Long-term feeding and respiratory support are common in infants hospitalized with micrognathia.

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.