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带有侧面接的亚总亚粘膜带切除术 (SMALS) 被粘膜覆盖

Hagit Shoffel-Havakuk^1,2, Yonatan Lahav^3,4, Yonatan Reuven^1,2

¹Faculty of Medicine, Tel Aviv University School of Medicine, Tel Aviv University, Tel Aviv, Israel.

The Laryngoscope

|August 8, 2023

概括

新的SMALS手术有效地通过扩展尾后部来治疗喉气道狭窄症 (GAWS). 这种技术为需要呼吸道纠正的患者提供了安全和成功的选择,同时保留了语音和吞功能.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
喉腔病学是指喉科的医生.
手术创新在外科创新.

背景情况:

喉气道狭窄 (GAWS) 因其对气道,声音和吞的影响而带来挑战.
原因包括双边声麻 (BVFP) 和后喉狭窄 (PGS).
手术干预的目的是平衡气道通透度与声功能和吸气风险.

研究的目的:

描述手术技术和评估SMALS手术对GAWS纠正的结果.
评估SMALS在改善PGS患者呼吸道,语音和吞方面的疗效.
为GAWS提出一种新的阿里内切除术修饰.

主要方法:

在2018年至2021年期间,对11名患者进行了回顾性队列研究,这些患者患有化后PGS,接受了SMALS.
SMALS手术:内镜子粘膜下全额膜切除术,保留了中间粘膜和侧面化.
收集的数据包括呼吸道,语音和吞症状;相对的喉开口面积 (RGOA) 和相对的喉缺陷面积 (RGIA) 被计算.

主要成果:

15个SMALS手术对11名依赖气管切除术的PGS患者进行.
没有观察到任何重大并发症,颗粒状或收缩的痕.
在8名 (73%) 患者中成功进行脱;RGOA显著增加 (p=0.003) 与稳定的RGIA (p=0.055).

结论:

SMALS是一种安全有效的修改,用于GAWS的经典膜切除术.
这种技术扩大了后面的喉,改善了呼吸道,没有显著的喉功能不充分.
SMALS提供了一种有前途的解决方案,用于纠正GAWS,并保留声声和吞功能.

关键词:

空气通道的空气通道.甲状腺软骨; 甲状腺切除术双边声麻双边声麻喉狭窄症是指喉狭窄症.横向化 (lateralization) 是一种侧向化.粘膜膜的片是如何形成的下粘膜膜除术 (submucosal arytenoidectomy) 是一种切除粘膜下粘膜除术,用于切除粘膜下粘膜.

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