双边上方运河的第一侧和第二侧修复脱落
Hong-Ho Yang1, Isaac Yang2, Quinton S Gopen1
1Department of Head and Neck Surgery, David Geffen School of Medicine at University of California, Los Angeles, California, USA.
The Laryngoscope
|November 8, 2023
概括
第二侧上通道消声 (SCD) 手术比第一侧修复提供了较低的听觉症状分辨率. 在SCD的第二侧和第一侧修复中,静脉门症状的缓解率类似.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 听力学 听力学是指听力学.
背景情况:
- 双边上通道脱声症 (SCD) 可能需要在两只耳朵进行手术.
- 了解顺序性SCD手术的比较有效性对于临床决策至关重要.
研究的目的:
- 为了比较一侧和二侧上通道失声 (SCD) 修复的有效性.
- 为了指导临床决策关于第二侧SCD手术的适当性.
主要方法:
- 分析了2011年至2022年期间进行的407次中SCD维修.
- 多变量回归模型评估了症状缓解和听力学改善.
- 队列包括单边SCD修复,第一侧修复和第二侧修复.
主要成果:
- 听觉症状解决率:81% (单边),73% (第一侧),43% (第二侧).
- 静止体症状的解决率:67% (单侧),54% (第一侧),51% (第二侧).
- 与第一侧修复相比,第二侧修复显示听觉症状分辨率明显较低.
结论:
- 第二侧SCD手术的听觉症状解决率较低.
- 在第一侧和第二侧修复之间,静脉门症状解决率是可比的.
- 术后症状应指导第二侧SCD手术的决策.
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