手术管理的宫冠状瘤的言语和吞结果:一个案例系列
Alice C Yu1, Myungjun Ko1, Albert Y Han2
1Department of Head and Neck Surgery, David Geffen School of Medicine, University of California Los Angeles, Los Angeles (UCLA), Los Angeles, California, U.S.A.
The Laryngoscope
|March 28, 2024
概括
宫冠状瘤手术可能会导致吞和说话问题,特别是对于上部瘤的前部方法. 早期康复对于经历了手术后失足症的患者来说是关键.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 宫冠状瘤是一种罕见的骨瘤,由于外科手术的难度,会影响言语和吞.
- 了解切割后的功能结果对于患者管理至关重要.
研究的目的:
- 在接受宫冠状瘤切除的患者中分析语音和吞结果.
- 在两个详细的案例中比较预后因素和管理.
主要方法:
- 11名患有宫冠状瘤的患者 (1993-2020年) 的回顾性病例系列.
- 结果包括生存率,肠道食的需要,修改的吞研究 (MBSS) 和光纤喉腔镜检查.
主要成果:
- 36.4%的患者在MBSS上进行了术后吸血,与高级瘤和前部外科手术方法有关.
- 4名患者 (36.4%) 报告有听力障碍,3名患者需要进行气管切除术.
- 2名患者需要长期的肠道养.
结论:
- 宫椎瘤切除的频繁并发症是缺食症,特别是在前部方法和上部瘤.
- 建议对受影响的患者进行早期的多学科吞康复.
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