横口机器人手术后的吞和说话 - - 该部位是否会影响结果?
Bassem Mettias1, Kate Young2, Bindy Sahota3
1Department of Otolaryngology and Head and Neck Surgery, Basildon Hospital, Mid and South Essex NHS Foundation trust - Nether Mayne, Basildon, SS16 5NL, UK. bassemadeldawoud@gmail.com.
Journal of robotic surgery
|July 18, 2024
概括
透口机器人手术 (TORS) 在头癌患者中提供了改善的吞和说话结果. 大多数患者在一年内恢复正常的饮食和液体摄入量,没有长期的语言障碍.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 机器人手术 机器人手术
背景情况:
- 透口机器人手术 (TORS) 是头部和部手术中一种微创的方法.
- 托尔斯旨在提高患者的功能结果,特别是吞和言语.
研究的目的:
- 为了比较用TORS治疗的不同头部和部部位的吞和言语的功能结果.
- 评估TORS后吞和语音功能的恢复轨迹.
主要方法:
- 68名接受TORS.患者的回顾性队列研究.
- 在手术后1天,1个月,6个月和12个月评估的功能结果.
- 使用国际消化不良饮食标准化倡议 (IDDSI) 评估吞;使用语音理解度评分 (USS) 评估演讲.
主要成果:
- 75%和40%的患者在手术后立即恢复正常的液体和饮食摄入量.
- 在3至6个月之间观察到显著的饮食改善,在第一年内迅速吞恢复.
- 暂时的饮食一致性下降,可通过修改的饮食来控制;没有长期观察到语言障碍.
结论:
- 在头部和部癌症患者中,TORS证明了吞的良好功能恢复概况.
- 术后早期的吞困难通常是暂时的,可以控制.
- TORS似乎对语音可理解性没有长期不利影响.
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