The effect of soft palate reconstruction with the da Vinci robot on middle ear function in children : an observational study
The effect of soft palate reconstruction with the da Vinci robot on middle ear function in children : an observational study
- Neue Suche nach: Téblick, S.
- Neue Suche nach: Ruymaekers, M.
- Neue Suche nach: Van de Casteele, Elke
- Neue Suche nach: Boudewyns, An
- Neue Suche nach: Nadjmi, Nasser
- Neue Suche nach: Téblick, S.
- Neue Suche nach: Ruymaekers, M.
- Neue Suche nach: Van de Casteele, Elke
- Neue Suche nach: Boudewyns, An
- Neue Suche nach: Nadjmi, Nasser
Abstract: Cleft palate is associated with a high prevalence of middle ear dysfunction, even after palatal repair. The aim of this study was to evaluate the effects of robot-enhanced soft palate closure on middle ear functioning. This retrospective study compared two patient groups after soft palate closure with a modified Furlow double-opposing Z-palatoplasty technique. Dissection of the palatal musculature was performed using a da Vinci robot in one group and manually in the other. Outcome parameters were otitis media with effusion (OME), tympanostomy tube use, and hearing loss during 2 years of follow-up. At 2 years post-surgery, the percentage of children with OME had reduced significantly to 30% in the manual group and 10% in the robot group. The need for ventilation tubes (VTs) decreased significantly over time, with fewer children in the robot group (41%) than those in the manual group (91%) needing new VTs during postoperative follow-up (P = 0.026). The number of children presenting without OME and VTs increased significantly over time, with a faster increase in the robot group at 1 year post-surgery (P = 0.009). Regarding hearing loss, significantly lower hearing thresholds were recorded in the robot group from 7 to 18 months postoperatively. To conclude, beneficial effects of robot-enhanced surgery were recorded, suggesting a faster recovery when the soft palate was reconstructed using the da Vinci robot.
Dokumentinformationen
The effect of soft palate reconstruction with the da Vinci robot on middle ear function in children : an observational study
2023-01-01
0901-5027 ; International journal of oral and maxillofacial surgery
Aufsatz (Zeitschrift)
Elektronische Ressource
Englisch
| DDC: | 629 |
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