在使用鼻塞巴尔升高的跨形方法后,嗅觉功能的长期恢复模式
1Department of Otolaryngology, Keimyung University School of Medicine, Dongsan Hospital, Daegu, Republic of Korea.
International archives of otorhinolaryngology
|October 25, 2023
概括
在头骨底部手术后嗅觉功能的恢复被比较到鼻塞巴尔和传统的跨形方法. 虽然使用鼻腔片的恢复速度较慢,但在六个月后,这两种方法在嗅觉得分上没有显著差异.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 头骨底部手术 头骨底部手术
背景情况:
- 鼻腔板用于头骨底部重建,以防止脑脊液泄漏.
- 与传统的跨形方法相比,关于鼻塞巴尔升高是否会导致更严重的嗅觉功能障碍存在争论.
研究的目的:
- 为了比较长期的嗅觉功能的恢复模式,在鼻腔和传统的跨形方法之间,在头骨底部手术后.
主要方法:
- 一项涉及31名接受跨形手术的患者的比较研究.
- 患者被划分为传统的跨形方法和鼻塞巴尔升高组.
- 嗅觉功能使用视觉模拟尺度和韩国版本的鼻子棒测试II (TDI分数) 在12个月内评估,包括嗅觉训练.
主要成果:
- 嗅觉评分 (视觉模拟尺度和TDI) 在常规组恢复了2个月,在鼻腔组恢复了6个月和3个月.
- 在手术后12个月,两组之间在视觉模拟尺度 (9.3±0.5 vs 8.9±1.5) 或TDI得分 (28.5±4.3 vs 27.2±4.7) 中没有发现显著差异.
- 鼻腔组中只有一个患者经历了永久的嗅觉功能障碍.
结论:
- 嗅觉功能的恢复与传统的跨形方法相比,使用鼻腔片技术更为渐进.
- 两种手术方法的长期嗅觉结果是可比的,六个月后没有发现显著差异.
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