在语音假体康复的初级气管食道穿刺中基于证据的建议
Miguel Mayo-Yáñez1,2, Alejandro Klein-Rodríguez2,3, Aldán López-Eiroa2,4
1Department of Otorhinolaryngology-Head and Neck Surgery, Complexo Hospitalario Universitario de A Coruña (CHUAC), 15006 A Coruña, Spain.
Healthcare (Basel, Switzerland)
|March 28, 2024
概括
在全喉切除术后进行语音假体安置的初级气管食道穿刺 (TEP) 缺乏足够的证据来广泛推. 需要进一步的研究来比较语音康复中的初级与二级TEP结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
- 语音语言病理学 语言病理学
背景情况:
- 头部和部癌症是一个重要的全球健康问题,喉癌是常见的.
- 全喉切除术,一种治疗喉癌的方法,导致失声 (失声).
- 气管食道声声康复是术后恢复声音的标准方法.
研究的目的:
- 建立基于证据的建议,用于初级气管食管穿刺 (TEP) 与语音假肢放置.
- 定义条件,要求,说明,适应症和初级TEP并发症的管理.
- 为了解决关于TEP最佳时间的持续辩论.
主要方法:
- 关于初级TEP的19个基于证据的陈述的制定.
- 对每个陈述的证据水平和推等级的评估.
- 关于初级与二级TEP的现有文献的审查.
主要成果:
- 大多数陈述 (78.95%) 具有低证据水平 (4) 和弱推等级 (C).
- 主要和次要TEP结果之间缺乏可靠的比较数据.
- 在大多数情况下,二级TEP仍然是首选的方法,这突出了缺乏共识.
结论:
- 目前的证据不足以强烈支持初级TEP与二级TEP相比,在全喉切除术后进行语音康复.
- 需要高质量的研究来确定TEP的最佳时间和作用.
- 进一步的研究是必要的,以指导临床决策在气管食道语音恢复.
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