在儿童中吞的评估具有更高等级的喉网络
Ahmed El-Sobki1, Reham Ae Ibrahim2, Saad Elzayat3
1Otorhinolaryngology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
概括
高度状网的外科切割可能会使儿童的吞困难恶化,需要仔细的术后评估. 吞功能是影响生活质量的关键次要结果.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 航空航道重建 航空航道重建
背景情况:
- 喉网是影响喉的先天性或获得性疾病.
- 较高等级的喉网 (3和4) 对气道通透性和声乐功能构成重大风险.
- 经常需要进行手术以恢复呼吸道功能.
研究的目的:
- 为了评估高档喉网的儿童的吞功能.
- 为了评估手术喉网分裂对吞参数的影响.
- 作为次要目标,进行语音分析.
主要方法:
- 12名3年级和4年级儿童的潜在案例系列.
- 临床吞评估,包括食观察和3司水吞试验.
- 使用灵活内镜评估吞 (FEES) 的仪器评估.手术前后.
主要成果:
- 手术后的窒息明显增加 (50%与手术前的25%相比).
- 在手术后,3司的水吞试验中,咳和窒息显著增加 (P < 0.001).
- 语音分析也作为次要结果进行.
结论:
- 对于正在接受手术的高度喉网的儿童,吞评估至关重要.
- 吞缺陷可能会在术后恶化,影响生活质量.
- 吞功能是气道重建手术中的一个重要的次要结果.
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