黏膜下腭裂在喂养困难鉴别诊断中的情况
Submucous cleft palate in the differential diagnosis of feeding difficulties.
作者信息
Moss A L, Jones K, Pigott R W
机构信息
Department of Reconstructive Plastic Surgery, Frenchay Hospital, Bristol.
出版信息
Arch Dis Child. 1990 Feb;65(2):182-4. doi: 10.1136/adc.65.2.182.
Submucous cleft palate is a missed or forgotten diagnosis. We reviewed 81 patients with submucous cleft palate seen over a 15 year period; 26 of these patients were interviewed. The patients were divided into three main groups according to the referral pattern. Children under 2.5 years were referred by a paediatrician for feeding problems; children aged 2.5-10 were referred mainly by speech therapists; and those over 10 had a varied pattern of referral. Thirty nine of the 81 had problems with feeding, but of the 26 interviewed, 22 had feeding problems. Not all patients with a submucous cleft palate are symptomatic and require active treatment, but children with this condition have the same high incidence of middle ear disease as those with overt cleft palate. We suggest that the diagnosis of submucous cleft palate be included in the differential diagnosis of feeding difficulties, with early referral to a specialist cleft palate team.
黏膜下腭裂是一种易被漏诊或误诊的疾病。我们回顾了15年间接诊的81例黏膜下腭裂患者；其中26例患者接受了访谈。根据转诊模式，将患者分为三大组。2.5岁以下儿童由儿科医生转诊，存在喂养问题；2.5至10岁儿童主要由言语治疗师转诊；10岁以上患者的转诊模式各不相同。81例患者中有39例存在喂养问题，但在接受访谈的26例患者中，有22例存在喂养问题。并非所有黏膜下腭裂患者都有症状且需要积极治疗，但患有这种疾病的儿童中耳疾病的发病率与明显腭裂的儿童相同。我们建议，在喂养困难的鉴别诊断中应纳入黏膜下腭裂的诊断，并尽早转诊至专业腭裂治疗团队。
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