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口底肿物患儿术后气道梗阻并发症的危险因素

Risk factors of postoperative airway obstruction complications in children with oral floor mass.

作者信息

Liu Ying, Zhuo Chen, Guo Yujiao, Jiang Yang, Li Mingzhe, Zhao Yangyang, Wu Xiaolu, Yu Guoxia

机构信息

Department of Stomatology, National Clinical Research Center for Respiratory Diseases, Beijing Children's Hospital, Capital Medical University National Center for Children's Health, Beijing 100045, China.

出版信息

Open Med (Wars). 2024 Jul 2;19(1):20240959. doi: 10.1515/med-2024-0959. eCollection 2024.

Abstract

The aim of the present study was to explore the risk factors of postoperative airway complications in children with oral floor mass. The first choice of auxiliary examination method for children with oral floor mass is also proposed. This retrospective study included 50 children with floor-of-mouth (FOM) masses. Medical records were reviewed, and information on age of onset, functional impacts present, age at consultation, imaging findings, history of preoperative aspiration, pathology findings, properties of biopsied fluid, treatment modality, postoperative outcomes, and operation were recorded. A total of 20 patients exhibited functional impacts such as difficulty in breathing and feeding. Ultrasound examination was performed in 28 cases; and magnetic resonance imaging, in 38 cases. The diagnosis was lymphatic malformation in 12 cases, developmental cyst in 29 cases, and solid mass in 7 cases. There were 28 cases of surgical resection, 9 cases underwent multiple puncture volume reduction followed by surgery, 11 cases treated using sclerotherapy injection, and 1 case treated using sclerotherapy injection and surgical resection. Young age, functional impact, and high grade of lymphatic duct malformation increased the risk of surgical treatment. B-scan ultrasound is the first choice for the diagnosis of FOM masses in children.

摘要

本研究的目的是探讨口底肿物患儿术后气道并发症的危险因素。同时提出了口底肿物患儿辅助检查方法的首选。这项回顾性研究纳入了50例口底肿物患儿。对病历进行了回顾,并记录了发病年龄、存在的功能影响、就诊年龄、影像学检查结果、术前误吸史、病理检查结果、活检液性质、治疗方式、术后结局及手术情况等信息。共有20例患者出现了如呼吸和喂养困难等功能影响。28例行超声检查;38例行磁共振成像检查。诊断为淋巴管畸形12例,发育性囊肿29例,实性肿物7例。手术切除28例,9例先行多次穿刺减容后再行手术,11例采用硬化剂注射治疗,1例采用硬化剂注射及手术切除治疗。年龄小、功能影响及淋巴管畸形分级高增加了手术治疗的风险。B超是诊断儿童口底肿物的首选。

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