手术前减少腭裂:斯坦福正畸气道板治疗(SOAP)对罗宾序列婴儿的偶然益处。

IF 1.1 4区 医学 Q2 Dentistry Cleft Palate-Craniofacial Journal Pub Date : 2024-06-17 DOI:10.1177/10556656241261846
Jin-Woo Kim, Alison Wan, Jun-Young Kim, HyeRan Choo
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引用次数: 0

摘要

目的:在接受斯坦福正畸气道板治疗(SOAP)的罗宾序列(RS)婴儿中,经常可以观察到腭裂变窄,尽管 SOAP 主要用于建立气道通畅。本研究量化了接受 SOAP 治疗的罗宾序列婴儿腭裂(CP)的尺寸变化:设计:回顾性病历审查:设置和结果测量:使用双变量统计分析对上颌骨模型进行测量和分析:研究共纳入17名婴儿。治疗前的中位年龄(最小,最大)为 6.7 周(1.1,21.9),治疗后为 26.6 周(18.7,37.0)。治疗前阻塞性呼吸暂停低通气指数中位数为 36.2 次/小时(8.1, 103.1),治疗后为 4.1 次/小时(1.9, 8.6)。治疗前 CP 宽度平均(± 标准差)减少了 6.37 毫米(± 3.55,p):在对患有严重上气道阻塞的 RS 和 CP 婴儿进行 SOAP 治疗期间,CP 的尺寸明显缩小。研究结果表明,SOAP 有助于腭修复手术。
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Presurgical Reduction of the Cleft Palate: Serendipitous Benefit of the Stanford Orthodontic Airway Plate Treatment (SOAP) for Infants with Robin Sequence.

Objective: Narrowing of the palatal cleft is often observed in infants with Robin sequence (RS) treated with the Stanford Orthodontic Airway Plate treatment (SOAP) even though SOAP is utilized primarily to establish airway patency. The current study quantified dimensional changes of the cleft palate (CP) in infants with RS treated with SOAP.

Design: A retrospective chart review.

Patients: Infants with RS and CP who completed SOAP and had maxillary arch models at both pre- and post-treatment time points at a single tertiary referral hospital between September 2019 and July 2023.

Setting and outcome measure: Maxillary arch models were measured and analyzed using Bivariate statistical analysis.

Results: Seventeen infants were included in the study. The median age (min, max) was 6.7 weeks (1.1, 21.9) at pre-treatment and 26.6 weeks (18.7, 37.0) at post-treatment. The median Obstructive Apnea Hypopnea Index was 36.2 events/hour (8.1, 103.1) at pre-treatment and 4.1 events/hour (1.9, 8.6) at post-treatment. The pre-treatment width of CP decreased by an average (± standard diviation) of 6.37 mm (± 3.55, p < 0.001) at post-treatment. The ratio of the posterior cleft width to the total maxillary arch width decreased from 40% (± 9.1) at pre-treatment to 22% (± 11) at post-treatment (p < 0.001).

Conclusion: The dimensions of CP reduced significantly during SOAP in infants with RS and CP treated for their severe upper airway obstruction. The findings highlight a potential benefit of SOAP that may contribute favorably to the palate repair surgery.

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来源期刊
Cleft Palate-Craniofacial Journal
Cleft Palate-Craniofacial Journal DENTISTRY, ORAL SURGERY & MEDICINE-SURGERY
CiteScore
2.20
自引率
36.40%
发文量
0
审稿时长
4-8 weeks
期刊介绍: The Cleft Palate-Craniofacial Journal (CPCJ) is the premiere peer-reviewed, interdisciplinary, international journal dedicated to current research on etiology, prevention, diagnosis, and treatment in all areas pertaining to craniofacial anomalies. CPCJ reports on basic science and clinical research aimed at better elucidating the pathogenesis, pathology, and optimal methods of treatment of cleft and craniofacial anomalies. The journal strives to foster communication and cooperation among professionals from all specialties.
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