Lower Airway |概述
Topic:Quality of Life Before and After Laryngeal Cleft Repair
Principal Investigator:Reza Rahbar博士
Summary:Laryngeal clefts can cause myriad issues for patients and family, beyond medical and surgical comorbidities. Thickened diets can place added financial and social stress on the family. Concern for the child’s breathing and eating can add emotional stress, as well. The aim of our study is to better delineate how overall quality of life is affected for patients with laryngeal cleft and their families. Establishing and validating a quality of life instrument for laryngeal cleft patients are critical to provide an objective measurement that will reflect the impact of laryngeal cleft, and of treatment thereof, on patient and family quality of life.
Topic:Neurological Evaluation of Laryngeal Cleft Patients
Principal Investigator:Reza Rahbar博士
Summary:喉裂缝是一种罕见的临床发现，它使食物和液体可以从食管腔传递到气道，从而导致抽吸。如果未诊断或未经治疗，患者可能会出现严重的肺后遗症，包括呼吸道感染和肺部肺炎性肺部。有了适当的管理策略，通常可以完全解决或显着改善攻击。但是，最近的研究表明，尽管经过了成功的手术修复，但一些患者仍在攻击和吞咽困难中遭受吞咽困难。这表明这些患者的喉部无能和抽吸是多因素的，术后结局的最佳预测因素之一是存在神经合并性。因此，重要的是要询问临床医生如何怀疑喉裂病患者是否需要进行神经学咨询以排除导致神经系统疾病。在这项研究中，我们对喉裂口的小儿患者进行了回顾性评论，重点是提到神经科医生的患者，以更多地了解其攻击的病因。我们调查的目的是提供指南，以指示何时应转诊喉裂口患者进行神经系统评估，并区分解剖学和神经肌肉病因。
Topic:喉裂修复的成本分析
Principal Investigator:Reza Rahbar博士
Summary:In recent years, laryngeal cleft repair has become a more streamlined and safe procedure thanks to advancements in surgical medicine and the development of endoscopic surgery to treat this condition. Historically, laryngeal clefts were repaired through open surgery, but now most surgeons tend to prefer the less invasive endoscopic approach. In this investigation, we hope to study the utility of endoscopic laryngeal cleft repair from a financial perspective. We will do this by reviewing patients that have undergone endoscopic laryngeal cleft repair at Boston Children’s Hospital within the last 15 years. We want to collect information regarding their surgery including the length of hospitalization, length of the operation, hospital billings, and anesthesia and ICU costs. Our belief is that the results will depict a significant decrease in costs related to this surgery over the last 15 years. In addition, we are interested in studying how the current costs associated with endoscopic laryngeal cleft repair differ from the historical costs of open repair at Boston Children’s Hospital.