背景:扁桃体大小的评估,弗里德曼舌头位置(FTP),和Friedman分期在小儿阻塞性睡眠呼吸暂停(OSA)中具有重要的临床意义,在诊断和手术管理方面提供多种优势。
目的:本研究旨在通过确定儿科牙科专家之间的检查者共识来评估儿科OSA评估的可靠性。
方法:在儿科牙科部门进行,PMS口腔科学与研究学院医院(2023-2024),这项观察性研究利用了传统的咨询室,头灯,考试椅。13名医生回顾了12名表现出口呼吸的儿科患者口咽区域的视频记录。根据扁桃体大小和舌头位置分级确定弗里德曼分期。使用Fleisskappa分析评估了互考者协议。
结果:观察员,包括儿科牙科的住院医师和医生,关于FTP和扁桃体分级的一致性很差。
结论:了解儿童OSA评估中扁桃体大小和FTP的细微差别,除了确定提炼的途径,可以增强医疗保健提供者之间的医疗决策,包括儿科牙医.
BACKGROUND: The evaluation of tonsil size, Friedman Tongue Position (FTP), and Friedman staging in pediatric obstructive sleep apnea (OSA) holds significant clinical importance, offering manifold advantages in diagnosis and surgical management.
OBJECTIVE: This study aimed to assess the reliability of pediatric OSA evaluation by determining inter-examiner agreement among pediatric dental specialists.
METHODS: Conducted at the Department of Pediatric Dentistry, PMS College of Dental Science and Research Hospital (2023-2024), this observational study utilized conventional consulting rooms, headlights, and examination chairs. Thirteen medical practitioners reviewed video recordings of the oropharyngeal regions of twelve pediatric patients exhibiting mouth breathing. Friedman staging was determined based on tonsil size and tongue position gradings.Inter-examiner agreement was evaluated using Fleiss kappa analysis.
RESULTS: Observers, including residents and practitioners in pediatric dentistry, demonstrated poor agreement regarding FTP and tonsil grading.
CONCLUSIONS: Understanding the nuances of tonsil size and FTP in pediatric OSA evaluation, along with identifying avenues for refinement, can enhance medical decision-making among healthcare providers, including pediatric dentists.