通过鼻下内镜 (2PENN) 进行部缺陷的后面部扩张:试点研究
Sebastian M Jara1,2, Eric R Thuler1, Michael J Hutz3
1Division of Sleep Surgery, Department of Otorhinolaryngology - Head and Neck Surgery, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, U.S.A.
The Laryngoscope
|September 29, 2023
概括
通过鼻下内镜 (2PENN) 的后面 palatal 扩张有效地前后扩展部,改善鼻腔阻塞症状. 这种修改后的手术辅助快速 palatal 扩张 (SARPE) 显示了有前途的安全性和有效性在横向大缺陷的患者.
科学领域:
- 口面部手术 口面部手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠的药物 睡眠的药物
背景情况:
- 横向大缺陷有助于鼻腔阻塞,并可能影响气道通透性.
- 手术辅助快速 palatal 扩张 (SARPE) 用于纠正这个缺陷.
- 经过改进的SARPE技术,通过鼻下内镜 (2PENN) 进行后面 palatal 扩张,以实现前和后扩张.
研究的目的:
- 评估2PENN程序的可行性,初步结果和安全性.
- 评估前后达到的上扩张的程度.
- 为了确定2PENN对鼻腔阻塞症状的影响.
主要方法:
- 一个20名成年患者的前性病例系列,患有横向大缺陷,正在接受2PENN.
- 进行了手术前后临床评估,NOSE问卷和CT扫描.
- 测量包括后鼻脊 (PNS) 的扩张,间距离 (IMD) 和前鼻脊 (ANS).
主要成果:
- 所有患者都实现了中侧宫线的完全前后分离.
- 在PNS (3.6毫米),IMD (6.1毫米) 和ANS (7.0毫米) 观察到显著的平均扩张 (p < 0.001).
- 鼻腔阻塞和隔膜整形疗效 (NOSE) 评分在术后显著改善 (57到14,p < 0.001).
结论:
- 2PENN是一种安全有效的技术,可以实现全面的部扩张.
- 该程序成功地解决了横向大缺陷,并改善了鼻腔阻塞.
- 需要进一步的研究来澄清2PENN对阻塞性睡眠呼吸暂停 (OSA) 患者的益处.
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