那些患有逆行性喉功能障碍的患者的经验
Mattea E Miller1, Ioan Lina1, Karla O'Dell2
1Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins School of Medicine, Baltimore, Maryland, U.S.A.
The Laryngoscope
|November 2, 2023
概括
逆行式喉功能障碍 (RCPD) 显著影响生活质量,导致社会隔离和心理健康问题. 早期诊断和医生教育对于有效治疗和改善患者结果至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 患者报告的结果
背景情况:
- 逆行性喉功能障碍 (RCPD) 的特点是由于喉松放松受损而无法发.
- 症状通常在青春期开始,并显著影响患者的生活质量.
研究的目的:
- 为了调查患者与RCPD的经历.
- 了解症状感知,护理障碍和治疗益处.
- 突出提高医生意识和教育的必要性.
主要方法:
- 对13名被诊断患有RCPD的患者进行了定性半结构面试.
- 采访的重点是症状的体验,诊断和治疗.
- 传统的内容分析被用来分析采访成绩单.
主要成果:
- 患者报告说,终身无法发,症状从青春期开始,导致社会隔离,生产力下降和心理健康恶化.
- 大多数患者通过社交媒体了解RCPD,并面临非耳鼻喉科专家的诊断延迟.
- 在84.6%的参与者中,注射有或没有扩张的肉毒毒素可以缓解症状.
结论:
- 经历过的RCPD深刻影响生活质量,加剧了医疗界内的诊断挑战.
- 虽然社交媒体有助于提高认识,但加强医生教育对于改善RCPD诊断和管理至关重要.
相关概念视频
Endoscopic Procedures V: ERCP
279
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
279
Chronic Pharyngitis
2.4K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
2.4K
Gastroesophageal Reflux Disease II: Clinical Features and Management
90
Gastroesophageal reflux disease, or GERD, is a persistent medical condition that affects many individuals worldwide. Its clinical manifestations can vary greatly, making diagnosis and management challenging for healthcare professionals. The following is a comprehensive overview of the clinical manifestations, assessment, and management strategies for GERD.
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
Clinical Manifestations
GERD presents itself in a multitude of ways, with symptoms varying from person to person. The hallmark symptoms are...
90
Suctioning the Nasopharyngeal Airway
456
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
456
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
17
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
17
Esophageal Strictures-II: Clinical Features and Management
77
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
77


