Department of Otolaryngology, Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand.
Department of Otolaryngology, Queen Sirikit National Institutes of Health, Bangkok, Thailand.
Cleft Palate Craniofac J. 2020 Sep;57(9):1100-1104. doi: 10.1177/1055665620922103. Epub 2020 May 26.
To investigate the trend in cleft care at a major children's referral center in Bangkok, Thailand.
Retrospective chart review.
A review of 129 patients under 18 years of age who had underwent care by the senior author for cleft treatment between January 2015 and October 2017 was done. The impact of varying factors on patient care was analyzed. We compare our demographics and treatment timeline to that of previously published literature in more developed countries.
Tertiary care medical center.
One hundred and two patient charts were reviewed with 53% male patients. Most patients had both cleft lip and cleft palate, 44%. Cleft lips most commonly were complete and occurred on the left side. In all, 77.4% of clefts were nonsyndromic. On average, primary cleft lip surgery was delayed being performed about 11 months of age. Sixteen percent of patients were treated with an obturator, while 11 patients had nasoalveolar molding use. Hearing screenings occurred on average at around 6 months of age. Abnormal tympanograms were evident in 32% of individuals. There was a significant difference in timing of surgery for patients who lived a distance greater than 30 kilometers from the hospital versus those from the Bangkok metropolis ( < .05).
Reviewing data from a high-volume referral center in Thailand reveals mild variance with regard to cleft care timing compared to published literature from the developed world. Distance traveled was found to impact timing of surgery.
调查泰国曼谷一家主要儿童医院的唇腭裂治疗趋势。
回顾性病历回顾。
对在 2015 年 1 月至 2017 年 10 月期间由资深作者进行唇腭裂治疗的 129 名 18 岁以下患者的病历进行了回顾。分析了不同因素对患者治疗的影响。我们将我们的人口统计学和治疗时间与更发达的国家以前发表的文献进行了比较。
三级医疗中心。
共查阅了 102 份患者病历，其中 53%为男性患者。大多数患者都有唇裂和腭裂，占 44%。唇裂最常见的是完全性的，发生在左侧。所有患者中，77.4%的唇裂是单纯性的。平均而言，初次唇裂修复手术大约在 11 个月大时进行。16%的患者使用了闭塞器，而 11 名患者使用了鼻牙槽塑形术。听力筛查平均在 6 个月大时进行。32%的人出现异常鼓室图。距离医院超过 30 公里的患者与曼谷大都市的患者相比，手术时间存在显著差异（<0.05）。
从泰国一家高容量转诊中心回顾数据显示，与发达国家的文献相比，唇腭裂治疗时间存在轻微差异。距离的远近被发现影响手术的时间。
