在放置阴道神经刺激器后刺激的声不动:一个案例系列
Ari D Schuman1, Alyssa C Chapel1,2, Jennifer Yan1,3
1Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA.
The Annals of otology, rhinology, and laryngology
|August 14, 2024
概括
阴道神经刺激器 (VNS) 植入可以导致声不动. 这项研究发现了一种新的VNS副作用:强迫声绑架,再内尔化为声音变化提供了有希望的治疗方法.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和声音科学 语音和声音科学
背景情况:
- 神经刺激器 (VNS) 植入是耐火性的关键治疗方法.
- VNS疗法经常与声音变化有关,但声运动障碍的诊断不足.
- 在VNS刺激期间声不运动的新型表型值得研究.
研究的目的:
- 为了评估VNS植入患者的声运动障碍.
- 描述一种新的呈现VNS诱导的声静止在被绑架的位置.
- 评估喉再生和媒介化程序对与VNS相关的语音功能障碍的疗效.
主要方法:
- 五名VNS植入体患者的回顾性病例系列.
- 用直接或在办公室的刚性喉腔镜来评估声运动.
- 用VNS在开启和关闭时评估语音的移动性.
主要成果:
- 在VNS激活期间,所有五名患者在被绑架的位置上表现出声不动.
- 当VNS被禁用时,语音的移动性已经存在.
- 包括喉再内接和胸膜整形在内的手术干预表明了语音改善的积极结果.
结论:
- 静脉神经系统的激活可以诱导声在被绑架的位置上的不动,扩大了以前报告的仅引进的病例.
- 喉再生和媒介化程序是VNS诱导的声不运动的有效治疗方法.
- 需要进一步的研究来了解与VNS相关的声运动障碍的机制和患病率.
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