喉回的长期结果和修订率
Vanessa F Torrecillas1, Matthew R Hoffman2, Breanne Schiffer3
1Department of Otolaryngology-Head and Neck Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.
The Laryngoscope
|January 27, 2024
概括
单边的,非选择性的喉再内线显著改善了声质和声麻的患者的声音质量和功能. 该手术显示了8.3%的有利修订率,与其他手术选择相美.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 语音和语言病理学 语言病理学
背景情况:
- 单侧声麻通常会损害语音质量.
- 非选择性喉再内是一种成熟的治疗方法,但长期结果和修订率尚未得到充分证实.
研究的目的:
- 评估儿科和成人患者单边,非选择性喉再内脏化的长期结果和修订率.
- 评估该程序对语音功能和患者报告的结果的影响.
主要方法:
- 一个单一的外科医生 (2000-2022) 对132名患者进行单方面,非选择性前 - 循环喉神经 (RLN) 重新内脏化的一次回顾性审查.
- 排除双边,超选择性,脱内尔/再内尔或并发性状腺引的患者.
- 结果措施包括最大发音时间 (MPT),语音障碍指数 (VHI),患者报告的语音质量,修订率和并发症.
主要成果:
- 显著改善MPT和患者报告的语音质量,VHI显著下降.
- 修订率为8.3% (11名患者),额外的手术包括传媒化喉膜整形和注射增强.
- 与修复手术相关的唯一因素是从神经损伤到神经复原的时间间隔. 整体并发症率为6.8%.
结论:
- 单边的,非选择性的喉再内线可靠地改善了经过重复的喉神经损伤后的声乐症状.
- 修订率是有利的,可比于声麻的框架手术.
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