用完整的喉进行食道重建后的并发症和功能结果
Aarti Agarwal1, Ramez Philips1, Michele Fiorella2
1Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania, U.S.A.
The Laryngoscope
|September 15, 2023
概括
使用局部或自由的食道重建有效地恢复了完整喉患者的口服摄入量,显示出低发病率和最小的语音变化. 这种手术方法为复杂的食道缺陷提供了可行的解决方案.
科学领域:
- 手术重建技巧 手术重建技巧
- 胃肠道手术的结果
- 耳鼻喉科的研究研究
背景情况:
- 食道缺陷是由各种病理引起的,包括恶性瘤,狭窄性,创伤和阳性损伤.
- 对于食道重建的手术技术,管理策略和结果,特别是对于完整的喉,仍然不完全理解.
- 这项研究的重点是评估患有喉功能保存的患者食道缺陷的手术结果.
研究的目的:
- 评估患有完整喉的患者食道缺陷的局部和自由重建的外科结果.
- 评估这些重建技术在恢复口服摄入和维护语音功能的有效性.
- 确定与这些程序相关的短期和长期发病率.
主要方法:
- 在2009年至2022年期间接受了食道重建,喉完好无损的患者进行了回顾性审查.
- 纳入标准用于确定符合条件的患者.
- 分析了手术结果,包括片成功,并发症,恢复口服和语音变化.
主要成果:
- 十名患者符合食道重建的纳入标准,主要是挤出脊柱硬件 (8名患者) 和食道狭窄 (2名患者).
- 四名患者接受了免费的组织移植,六名患者接受了局部脚式片的重建,没有片失败,片或脱落.
- 所有不依赖管道养的患者在手术前恢复了口服摄入3个月;四分之三的手术前依赖患者在9个月内获得了口服摄入,90%的患者没有经历声音变化.
结论:
- 在患有完整喉的患者中,食道缺陷重建具有独特的挑战.
- 自由组织转移和局部脚式板都被证明是成功实现重建的有效方法.
- 这些手术干预有助于恢复口服,长期患病率较低,语音质量保持良好.
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