在语音假肢植入后发生的获得性气管支气管脊髓病
Hirofumi Omori1, Takahiro Wakasaki1, Takahiro Hongo1
1Department of Head and Neck Surgery, National Kyushu Cancer Center, 3-1-1 Notame, Minami-ku, Fukuoka 811-1395, Japan.
Auris, nasus, larynx
|March 23, 2024
概括
获得性气管支气管 (ATBM) 是一种罕见的后语音假肢植入后的并发症. 移除假肢解决了ATBM,这表明设备和疾病之间存在联系.
科学领域:
- 医学 医学 医学 医学 医学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
背景情况:
- 获得性气管支气管 (ATBM) 涉及逐渐失去气管支气管壁的刚性.
- 呼吸过程中的动态气道崩是ATBM的一个关键特征.
研究的目的:
- 报告语音假体植入后ATBM的第一个记录的病例.
- 突出ATBM作为头部和部手术中的潜在并发症.
主要方法:
- 一个患者的病例介绍,该患者在喉切除术后开发了ATBM,并插入了语音假体.
- 诊断工作包括计算机断层扫描 (CT) 和支气管纤维扫描.
- 管理包括移除语音假肢.
主要成果:
- 一名63岁的男性在植入语音假肢两个月后出现呼吸障碍.
- 通过CT和支气管纤维镜检查证实了ATBM的诊断.
- 在移除语音假肢后,ATBM的进展停止了,并保持了超过五年的稳定性.
结论:
- 语音假体植入可以导致获得的气管支气管支气管.
- 切除假肢可能会阻止ATBM的进展.
- 头部和部外科医生应考虑在语音假体手术后患有呼吸障碍的患者中使用ATBM.
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