在OSA的宫腔手术中尤斯塔希管功能症状:3个月的术后分析
Fatih Gul1, Ozgenur Kocak1, Mehmet A Babademez1
1Department of Otorhinolaryngology, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara, Turkey.
The Laryngoscope
|October 31, 2023
概括
针对阻塞性睡眠呼吸暂停 (OSA) 的不同软口腔手术会影响欧斯塔希管的功能. 与前面宫腔整形相比,3个月后,有刺的宫腔整形显示出更高的功能障碍得分,这表明个性化治疗是关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 睡眠医学 睡眠医学
- 手术创新 在外科创新.
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种常见的疾病,通常用手术治疗.
- 欧斯塔基管功能障碍 (ETD) 可能是OSA的后果或并发症.
- 口腔手术旨在改善OSA,但可能会影响ETD.
研究的目的:
- 评估不同软 palatal 手术技术对欧斯塔基管功能在OSA患者的影响.
- 为了确定影响欧斯塔基管功能的因素,在OSA的宫腔外科手术后.
主要方法:
- 一项前性队列研究,对96名OSA患者进行了前面宫殿整形 (AP),扩张关节宫殿整形 (ESP) 或刺鼻宫殿整形 (BP).
- 尤斯塔基管功能障碍问卷 (ETDQ-7) 在基线和手术后1,2,3个月进行评估.
- 分析包括重复测量ANOVA和基于OSA严重性的子组分析.
主要成果:
- 所有ETDQ-7得分随着时间的推移显著改善 (p < 0.001).
- 整体而言,在手术组之间没有观察到ETDQ-7得分的显著差异 (p = 0.109).
- 在3个月的ETDQ-7变化 (p = 0.046) 中,观察到时间和OSA严重程度之间的显著相互作用;刺鼻巴巴整形 (BP) 显示得分高于前巴巴整形 (AP) 在3个月.
结论:
- 在OSA患者中,欧斯塔基管功能的手术结果各不相同.
- 患者特定的因素,包括OSA的严重程度,对于选择最佳的宫腔手术至关重要.
- 根据个体ETD症状和OSA严重程度量身定制手术方法可以改善结果.
相关概念视频
01:29Suctioning the Nasopharyngeal Airway
463
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
463
01:24Endotracheal Tube Extubation
765
Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
Procedure
Extubation removes the endotracheal tube (ETT) from the patient on mechanical ventilation. It requires a well-coordinated, multidisciplinary approach involving physicians, nurses, respiratory therapists, and other healthcare professionals....
765
01:25Suctioning the Oropharyngeal Airway
232
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
232
01:21Tracheostomy Decannulation
201
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
201
01:26Tonsillitis II: Management
120
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
120