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在接器辅助全喉切除术中进行混合初级穿刺
Jacopo Galli1,2, Luca Perna1, Giorgia Rossi1
1Otorhinolaryngology Unit, Department of Head and Neck, A. Gemelli University Hospital Foundation IRCCS, Rome, Italy.
Head & neck
|November 21, 2023
概括
一种新的混合手术技术用于主性气管食管 (TE) 穿刺在接器辅助全喉切除术简化语音假肢 (VP) 插入. 这种方法避免了并发症,并促进了VP的放置,即使有机械.
科学领域:
- 手术瘤学手术瘤学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和声音康复 语音和声音康复
背景情况:
- 全喉切除术需要手术技术来恢复声音.
- 传统的气管食道 (TE) 刺穿通常需要硬性食道镜.
- 接器辅助全喉切除术在初级语音假肢 (VP) 放置方面提出了独特的挑战.
研究的目的:
- 介绍一项用于初级TE穿刺的新混合手术技术.
- 为了证明逆行VP安置在接器辅助全喉切除术中的可行性和安全性.
- 为突出这一创新的外科手术方法的技巧和技巧.
主要方法:
- 一种混合技术,涉及上部迷你喉科切除,用于逆行VP插入.
- 这种技术与接器辅助全喉切除术的整合.
- 在手术过程中消除了对刚性食道镜的需要.
主要成果:
- 混合程序允许进行初级TE穿孔和VP放置.
- 在作者的经验中,这种技术没有与喉皮质 (PCF) 或功能并发症等不良事件相关.
- 成功地实现了VP插入,即使在使用机械接的情况下也是如此.
结论:
- 描述的混合技术是用于初级语音假肢插入的有效和安全方法.
- 它通过通过迷你喉切除术使逆行放置成为可能,简化了这个过程.
- 这种方法在接器辅助全喉切除术中是有效的,为语音康复提供了可靠的选择.
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