METHODS: A retrospective chart review.
METHODS: 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.
UNASSIGNED: 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).
CONCLUSIONS: 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.
方法:回顾性图表回顾。
方法:在2019年9月至2023年7月期间,在一家三级转诊医院的治疗前和治疗后时间点完成SOAP并具有上颌弓模型的RS和CP婴儿。
■使用双变量统计分析测量和分析上颌弓模型。
结果:17名婴儿被纳入研究。中位年龄(最小,治疗前max)为6.7周(1.1,21.9),治疗后为26.6周(18.7,37.0)。中位阻塞性呼吸暂停低通气指数在治疗前为36.2事件/小时(8.1,103.1),在治疗后为4.1事件/小时(1.9,8.6)。CP的治疗前宽度在治疗后平均减少6.37mm(±3.55,p<0.001)。后裂宽度与上颌弓总宽度的比率从治疗前的40%(±9.1)下降到治疗后的22%(±11)(p<0.001)。
结论:RS和CP治疗严重上呼吸道阻塞的婴儿在SOAP期间CP尺寸显著降低。这些发现强调了SOAP的潜在益处,该益处可能有利于腭修复手术。