主要气管食道穿刺在接器辅助喉关闭:一个手术修改
Jeyashanth Riju1, Rajiv C Michael2, Sheth Meet Chetan3
1Head and neck surgery, Christian Medical College and Hospital Vellore, Vellore, Tamilnadu, India jjriju@yahoo.co.in.
BMJ case reports
|May 13, 2024
概括
这项研究探讨了使用手术合器进行全喉切除术 (TL) 关闭与气管食道穿刺 (TEP). 该技术在减少并发症和改善喉癌手术后语音恢复方面表现有前途.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 医疗设备创新 医疗设备创新
背景情况:
- 全喉切除术 (TL) 是针对晚期喉癌的手术程序.
- 在TL之后恢复言语通常涉及气管食道穿刺 (TEP).
- 手术合器在关闭外科手术缺陷方面具有优势,但由于担心并发症,在合器关闭期间的TEP并未被广泛采用.
研究的目的:
- 评估在全喉切除术 (TL) 中进行初级气管食管穿刺 (TEP) 和紧器辅助关闭期间立即放置语音假体的可行性和安全性.
- 描述了一种手术技术,将带关闭与TEP结合起来,用于在晚期喉恶性瘤中恢复语音.
- 评估这种综合方法在减少TEP相关并发症方面的潜力.
主要方法:
- 两名患有晚期喉恶性瘤的男性患者接受了全喉切除术 (TL).
- 进行了初级气管食道穿刺 (TEP) 进行语音假肢放置.
- 喉随后使用手术合器将其关闭.
- 详细介绍了手术技巧,以帮助人们理解手术程序.
主要成果:
- 描述的手术技术在两名患者身上成功应用.
- 在TL期间使用手术合器进行喉关闭显示出优势,包括减少手术持续时间.
- 这种方法在缓解与接器辅助喉关闭相关的TEP相关并发症方面看起来很有希望.
结论:
- 在全喉切除术 (TL) 后,可以通过接器辅助关闭喉.
- 在接器关闭期间进行一次性气管食道穿刺 (TEP) 可能会减少并发症并帮助语音恢复.
- 这种技术为TL患者的TEP管理提供了一个有希望的替代方案.
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