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衰老对开放部分喉切除术后长期功能结果的影响

Carla Cantaffa¹, Sara Donvito¹, Alfredo L Manto¹

¹Department of Otorhinolaryngology-Head and Neck Surgery, University Hospital of Modena, Modena, Italy.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|July 1, 2024

概括

老龄化不会显著影响开放部分水平喉膜切除术 (OPHL) 后的功能结果. 65岁以上的患者获得的结果与年轻同龄人相似,与年龄相关的小影响对剩余的喉.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
喉外科手术喉外科手术
老年医学老年医学

背景情况:

开放的部分水平喉切除术 (OPHL) 是全喉切除术的替代方案.
OPHLs的短期功能结果已经得到了充分的证据.
老龄化对OPHL后残留喉结构的影响需要进一步研究.

研究的目的:

评估老龄化对OPHLs后功能结果的影响.
为了比较OPHL后不同年龄组的患者的吞和语音功能.
评估与年龄有关的功能结果的长期稳定性.

主要方法:

对97名接受OPHLs的患者进行了回顾性队列研究.
使用透吸收量表 (PAS) 和聚合分数来评估吞.
语音分析包括光谱图 (延吉哈拉分类) 和声学参数.
关于发音和吞的主观问卷.
数据分析基于手术时的年龄,评估和随访时间.

主要成果:

大多数变量与手术或评估时的患者年龄之间没有显著的相关性.
一些声学参数与随访时间负相关.
65岁以上的患者表现出显著更高的震,噪声和率 (NHR) 和全球等级/粗度.

结论:

完成康复治疗的患者获得的结果与年轻同龄人相比,具有长期稳定性.
与未经手术的个体相比,衰老对剩余喉的影响很小.
OPHLs提供了一个可行的手术选择,在不同年龄组中具有良好的结果.

关键词:

老化的老化衰老的老化失足症是一种失足症.喉癌是一种喉癌.一部分喉腔切除术发音发音发音发音发音

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