甲状腺肌切除术后的气道和语音结果,用于双边声不运动
Zao M Yang1, Ronit Malka2, Dylan Z Erwin1
1Department of Otolaryngology-Head & Neck Surgery, University of Texas Health San Antonio, San Antonio, Texas, U.S.A.
The Laryngoscope
|May 29, 2024
概括
甲状腺肌切除术 (TAM) 显著改善了双边声不运动 (BVFI) 患者的呼吸和语音质量. 这种程序为喉气道阻塞提供了一个有希望的解决方案,而不会对声功能产生负面影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉腔病理学 喉腔病理学
- 手术创新 在外科创新.
背景情况:
- 第4型后喉狭窄和双侧声麻导致难以治疗的双侧声不运动 (BVFI),导致气道阻塞.
- 现有的BVFI治疗方法往往会加剧语音问题 (失声症).
研究的目的:
- 评估甲状腺肌切除术 (TAM) 在改善BVFI患者的呼吸 (呼吸不良) 和语音质量的有效性.
- 评估TAM是否对喉结构或功能产生负面影响.
主要方法:
- 在2021年4月至2023年6月期间,11名BVFI患者接受了单边TAM治疗.
- 对比了患者报告的术前和术后结果 (呼吸不良指数,语音障碍指数-10,淋巴功能指数).
- 从图像中分析了客观的眼球尺度 (鞠躬指数,眼球表面积,打开角度).
主要成果:
- 在呼吸障碍指数 (p=0.004),语音障碍指数-10 (p=0.011) 和喉功能指数 (p=0.017) 中观察到显著改善.
- 在喉结构参数上没有发现任何显著的变化,例如鞠躬指数,喉表面积或开口角.
- 在客观的球测量中实现了高的interrater可靠性 (ICCs 0.83-0.95).
结论:
- 甲状腺肌切除术 (TAM) 能够有效地缓解双边声不运动 (BVFI) 患者的呼吸障碍.
- 该程序显示了对呼吸的显著益处,而不会对语音质量或喉结构造成重大损害.
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