印度尼西亚新冠疫情期间的唇腭裂手术：万隆唇腭裂中心的36个月经验
Cleft lip and palate surgery during COVID-19 pandemic in Indonesia: a 36-month experience at the Bandung Cleft Lip and Palate Center.
作者信息
Sundoro Ali, Hilmanto Dany, Soedjana Hardisiswo, Lesmana Ronny, Suryadinata Kevin Leonard
机构信息
Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
Department of Child Health, Faculty of Medicine, Universitas Padjadjaran-Dr. Hasan Sadikin Hospital, Bandung, Indonesia.
出版信息
Arch Craniofac Surg. 2023 Jun;24(3):111-116. doi: 10.7181/acfs.2023.00213. Epub 2023 Jun 20.
BACKGROUND
In Indonesia, the prevalence of cleft lip and palate increased from 0.08% to 0.12% between 2013 and 2018. Children with cleft deformities typically undergo staged surgery. However, the coronavirus disease 2019 (COVID-19) pandemic has had negative impacts on the healthcare sector, including the suspension of elective procedures; this has raised concerns about the safety of performing surgery and the functional consequences of delaying treatment, the latter of which is associated with poor prognosis. The purpose of this study was to report the characteristics of clefts treated by the Bandung Cleft Lip and Palate Center team during the pandemic period.
METHODS
This brief comparative study based on a chart review was conducted at the Bandung Cleft Lip and Palate Center. We statistically evaluated data from all patients treated between September 2018 and August 2021. Frequency analysis was performed to analyze the average number of each procedure by age before and during the COVID-19 pandemic.
RESULTS
Data from 18-month periods before (n = 460) and during (n = 423) the pandemic were compared. Cheiloplasty procedures were examined (pre-pandemic, n = 230; pandemic, n = 248); before the pandemic, 86.1% were performed according to the treatment protocol (patient < 1 year old), and this proportion non-significantly dropped to 80.6% during the pandemic (p = 0.904). Palatoplasty procedures were also compared (pre-pandemic, n = 160; pandemic, n = 139); the treatment protocol (patient 0.5-2 years old) was followed for 65.5% of procedures before the pandemic and 75.5% during the pandemic (p = 0.509). Additionally, 70 (mean age, 7.94 years) revision and other procedures were performed before the pandemic and 36 (mean age, 8.52 years) during the pandemic.
CONCLUSION
The cleft procedures performed at the Bandung Cleft Lip and Palate Center did not significantly change during the COVID-19 pandemic.
背景
在印度尼西亚，2013年至2018年间唇腭裂的患病率从0.08%上升至0.12%。患有腭裂畸形的儿童通常要接受分期手术。然而，2019冠状病毒病（COVID-19）大流行对医疗保健部门产生了负面影响，包括暂停择期手术；这引发了人们对手术安全性以及延迟治疗的功能后果的担忧，而后者与预后不良有关。本研究的目的是报告万隆唇腭裂中心团队在大流行期间治疗的腭裂特征。
方法
这项基于图表回顾的简短对比研究在万隆唇腭裂中心进行。我们对2018年9月至2021年8月期间所有接受治疗的患者的数据进行了统计评估。进行频率分析以分析COVID-19大流行之前和期间按年龄划分的每种手术的平均数量。
结果
比较了大流行前（n = 460）和大流行期间（n = 423）18个月期间的数据。检查了唇裂修复手术（大流行前，n = 230；大流行期间，n = 248）；在大流行前，86.1%的手术按照治疗方案进行（患者<1岁），在大流行期间这一比例无显著下降，降至80.6%（p = 0.904）。还比较了腭裂修复手术（大流行前，n = 160；大流行期间，n = 139）；在大流行前，65.5%的手术遵循治疗方案（患者0.5 - 2岁），在大流行期间这一比例为75.5%（p = 0.509）。此外，在大流行前进行了70例（平均年龄7.94岁）修复及其他手术，在大流行期间进行了36例（平均年龄8.52岁）。
结论
在COVID-19大流行期间，万隆唇腭裂中心进行的腭裂手术没有显著变化。
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