描述长期吞和语音的结果,以后的前部宫横向的方法
Ahmed Toure1, Audrey Abend1, Rachel S Lipsky1
1Division of Head and Neck Surgery, Department of Otolaryngology-Head and Neck Surgery, Weill Cornell Medical Center, New York Presbyterian Hospital, New York, New York, U.S.A.
The Laryngoscope
|February 17, 2024
概括
经过前横手术 (ACA) 的患者经常经历长期的吞和语音问题. 这些并发症的持续时间比耳鼻喉科随访率所表明的要长.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 外科手术的结果
- 患者报告的并发症
背景情况:
- 前部跨部方法 (ACA) 用于各种头部和部手术.
- 经过ACA后的长期功能结果,特别是吞和语音,需要进行彻底的调查.
研究的目的:
- 评估ACA后长期吞和语音投诉的频率和严重程度.
- 确定需要耳鼻喉科随访的并发症的发生率,并评估随访率.
主要方法:
- 在2017年1月至2020年3月期间接受ACA的患者的回顾性队列研究.
- 从医疗记录和患者报告的结果中收集的数据,使用饮食评估工具和语音症状量表.
主要成果:
- 40.7%和55.7%的患者在手术后至少3个月内分别报告吞和语音功能异常.
- 长期 (12个月) 的异常功能持续在41.8%的吞和54.5%的语音中.
- 仅有16.4%和11.7%的患者在3个月后使用了吞和语音投诉的耳鼻喉科随访.
结论:
- 前部穿越宫的方法与显著的长期消化障碍和失声症有关.
- 患者报告的吞和语音功能障碍在正式耳鼻喉科随访护理的使用之后仍然存在.
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