评估舌头强度和吞功能在下腺骨切除手术后
Massupa Sanguanchom1, Phawin Keskool1, Paiboon Sureepong1
1Department of Otorhinolaryngology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Ear, nose, & throat journal
|August 23, 2023
概括
状腺骨切除手术,包括Sistrunk手术和全喉切除手术,并没有显著影响舌头的强度或吞功能. 这一发现表明,舌骨的
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 吞障碍 吞障碍 吞障碍
- 外科手术的结果
背景情况:
- 舌头和舌骨对于吞的口腔阶段至关重要.
- 状腺骨切除用于各种疾病,可能会影响口腔功能.
- 评估状骨手术对舌头功能和吞的影响对于患者的康复很重要.
研究的目的:
- 为了评估舌头强度和耐力在状腺骨切除后的患者.
- 为了评估在接受状腺骨切除手术的患者的吞功能.
- 为了比较Sistrunk手术后和全喉切除术后患者之间的结果.
主要方法:
- 一项实验性,非随机试验包括26名参与者 (10名Sistrunk后,16名全喉切除后).
- 使用爱荷华州口腔表现仪器 (IOPI) 测量了舌头的强度和耐力.
- 在Sistrunk后的组中使用了吞的灵活内镜评估 (FEES).
主要成果:
- 平均舌头强度为40.8 ± 11.7kPa;平均耐力为30.6 ± 13.2秒.
- 在Sistrunk后和全喉切除后的组之间,没有发现舌头强度的显著差异 (P = .153).
- 在男性和女性之间观察到舌头强度的显著差异 (P = .001);FEES在后Sistrunk组中没有显示任何客观的吞异常.
结论:
- 部分或全部的舌骨切除并没有显著损害舌头的强度.
- 吞功能没有受到状腺骨切除的显著影响.
- 性别似乎影响了舌头的强度,而不是舌骨切除类型.
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