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再発性喉頭神経に浸透した魚骨の回収後の術後の声帯麻痺
Wen Li1, Lijun Fu1, Yuqi Wang1
1Department of Otolaryngology-Head & Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.
Ear, nose, & throat journal
|September 4, 2025
まとめ
移動する魚の骨の摂取は 深い首の感染症を引き起こします このケースは 魚骨の摘出後の 稀な手術後の声帯麻痺を強調し 重要な手術前評価と 予後予測を強調しています
科学分野:
- 耳鼻喉科
- 神経外科
- 医療 症例 の 報告
背景:
- アジアの耳鼻喉科では 移動魚の骨はよく見られます
- 深い首の感染症は,魚骨の衝撃の頻繁な合併症です.
- 手術前の声帯麻痺は 既知だが稀な合併症です
研究 の 目的:
- 手術後の声帯麻痺を 記録するために
- 魚骨の衝撃に対する 徹底した手術前評価の重要性を強調する.
- 喉頭神経の再発性損傷に関連した予後およびリスクの理解を深めること.
主な方法:
- 魚の骨がぶつかった患者の事例です
- 臨床表現,診断手順,外科的回収の詳細なレビュー
- 術後の声帯機能と神経学的結果の分析
主要な成果:
- 患者に声帯麻痺が発症しました
- これは魚の骨による 喉神経の侵入に伴う 手術後の麻痺の 最初の記録です
- 麻痺は回復不可能で 長期的な病気の可能性を強調しています
結論:
- 魚骨の取り出しは,特に再発性喉頭神経にぶつかった場合,遅延または術後の声帯麻痺の危険性があります.
- 神経の潜在的関わりを特定するには 徹底した手術前評価が不可欠です
- 回復できない声の機能障害のリスクがあるため,予後予測と患者カウンセリングは不可欠です.
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