动态舌头重建对吞功能的连续变化的影响 在接受全身切除或近全身切除术的患者中
Young Chul Kim1, Soo Hyun Woo, Woo Shik Jeong
1Department of Plastic and Reconstructive Surgery, University of Ulsan, College of Medicine, SeoulAsan Medical Center, Seoul, Korea.
Annals of plastic surgery
|July 25, 2023
概括
动态重建使用动力内置的自由显著改善吞功能在完全或近完全光切除术后的一年内,提高患者的生活质量.
科学领域:
- 重建性手术是一种重建性手术.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞生理学的吞生理学
背景情况:
- 对于先进的口腔癌,全身或近全身光切除术往往会损害吞功能.
- 恢复舌头功能对于消和生活质量至关重要.
- 传统的重建方法可能无法完全恢复动态的舌头运动.
研究的目的:
- 为了比较电机内化自由重建与传统方法对吞功能的影响.
- 为了评估吞功能的连续变化,用喉保存进行光切除术后.
主要方法:
- 对21名经过喉切除术并保留喉的患者进行了回顾性审查.
- 传统重建的比较 (n=11) 与动态电动内置的前侧大腿自由 reconstruction (n=10).
- 使用视频光镜透吸收尺度 (VFPS) 和功能结果吞尺度 (FOSS) 在不同术后间隔评估吞. 胃口管依赖的时间到事件分析.
主要成果:
- 动态重建组在术后6-12个月显著改善了吞结果 (VFPS:3对6,P=0.024;FOSS:1.89对4,P=0.009).
- 多变量分析表明,动态组中吞失补偿的概率下降的趋势 (OR=0.062,P=0.057).
- 两组之间没有观察到胃口管状况的显著差异.
结论:
- 动态重建与运动内置的自由片增强吞功能在手术后的第一年内.
- 这种方法推给接受全身切除术或近全身切除术的患者,以改善他们的生活质量.
- 进一步的研究可能会探索长期的功能结果和患者报告的生活质量.
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