丝-氨酸用于声增大:安全性概况和长期语音结果
Christopher D Dwyer1, Samantha Kridgen1, Simon Chiang1
1Brigham & Women's Hospital, Department of Surgery, Division of Otolaryngology, Boston, Massachusetts.
Journal of voice : official journal of the Voice Foundation
|March 22, 2024
概括
丝-氨酸 (丝-HA) 是一种安全有效的注射可用于声增大,改善喉功能不全患者的语音质量. 大多数患者经历了几个月的好处,许多人长期保持了结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 再生医学是一种再生医学.
- 生物材料科学 生物材料科学
背景情况:
- 丝-氨酸 (丝-HA) 是一种用于声增强的新型可注射生物材料.
- 自2020年7月以来,在人类中已确立使用.
- 初步数据表明有效性,但长期结果需要调查.
研究的目的:
- 评估用于声增强的丝-HA注射的指示,语音结果和寿命.
- 在大量患者队列中评估安全性和并发症率.
- 提供超过初始临床研究的长期随访数据.
主要方法:
- 160个丝-HA注射程序的回顾性图表审查,以治疗喉功能不充分 (GI).
- 收集的数据包括人口统计,诊断,注射量,语音障碍指数 (VHI-10) 分数和随访时间.
- 盲视感知语音分析和VHI-10变化在注射后1年内进行评估.
主要成果:
- 在160名患者身上进行了160项手术 (59%为女性,平均年龄为66岁).
- 94名患者 (58.4%) 患有单侧声麻;其他患者有痕,缩或.
- 注射后观察到VHI-10和CAPE-V得分的显著改善;严重并发症很少发生 (3.8%).
结论:
- 丝-氨酸 (丝-HA) 是一种安全有效的注射剂,用于声增大,特别是由于单方面声麻而导致的喉功能不充分.
- 患者可以期待几个月的好处,许多人经历了超过一年的持续改善.
- 虽然长期持续仍在调查中,但丝-HA对持续的声功能有希望.
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