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首页> 外文期刊>The Journal of craniofacial surgery >A Quantitative Analysis of Weight Gain Following Mandibular Distraction Osteogenesis in Robin Sequence
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A Quantitative Analysis of Weight Gain Following Mandibular Distraction Osteogenesis in Robin Sequence

机译:Robin序列下颌分散骨质发生后体重增加的定量分析

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Mandibular distraction osteogenesis (MDO) is an effective treatment modality for children suffering from upper airway obstruction from Robin Sequence (RS). Mandibular distraction osteogenesis has been shown to have positive effects on oral feeding and for relieving respiratory obstruction, but its effects on postoperative weight gain are poorly understood. This study quantitatively analyzes weight gain following MDO. A retrospective chart review identified 22 RS children who underwent MDO. Patient weight data, feeding methods pre- and postoperatively, and polysomnography data pre- and postoperatively were collected. Each patient's weight plotted over time was then compared with his or her closest standardized growth curve, and linear regression analysis was utilized to quantify patient growth by calculating actual and expected average daily weight gain (g/d). Percentile changes were analyzed as well. Children gained significantly less weight than expected from birth to time of MDO and significantly more weight than expected from MDO to device removal, MDO to 6 months postoperatively, and MDO to 12 months postoperatively. The average growth percentile for the cohort was 37.3 at birth, declined to 22.7 by MDO, and increased to 28.5 and 33.5 at device removal and 6 months postoperatively, respectively. More than 70% of children were exclusively orally fed within 6 months of MDO. Children with isolated Robin Sequence had superior weight gain than children with syndromic Robin Sequence following surgery. In conclusion, MDO helps improve weight gain following surgery, particularly for infants with isolated Robin Sequence, and has positive effects on oral feeding and respiration.
机译:下颌分散骨质发生(MDO)是患有来自Robin序列(RS)的上气道阻塞的儿童的有效治疗方式。下颌分散骨质发生已经显示出对口服喂养和缓解呼吸阻塞的积极影响,但其对术后重量增益的影响很差。该研究定量分析MDO后的体重增加。回顾性图表审查确定了22卢比的儿童接受了MDO。患者重量数据,预先和术后喂养方法,以及预先收集的多腹腔术数据和多重创新数据。然后将每位患者的重量与他或她最近的标准化生长曲线进行比较,并且利用线性回归分析来通过计算实际和预期的平均每日体重增加(G / D)来量化患者生长。分析了百分位数。从生育时间到MDO的生育时间增加的重量比预期的重量明显更低,而且重量比MDO从MDO预期的重量,术后6个月,MDO为6个月,并术后12个月。群组的平均增长百分位数在出生时为37.3,MDO下降至22.7,分别增加到28.5%和33.5,分别在术后6个月。超过70%的儿童在MDO的6个月内完全口服喂食。具有孤立的罗宾序列的儿童比手术后综合征罗宾序列的儿童有优越的体重增加。总之,MDO有助于改善手术后的体重增加,特别是对于患有孤立的罗宾序列的婴儿,对口腔喂养和呼吸具有积极影响。

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