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在流吞上存在 posthlaryngectomy 伪分歧的存在不会影响早期的饮食进展
Saikrishna Ananthapadmanabhan1, Eugene Wong1, Lydia Natsis2
1Department of Otolaryngology, Westmead Hospital, Westmead, New South Wales, Australia.
Head & neck
|August 15, 2024
概括
在全喉切除术后的伪转节并不会显著影响饮食耐受性. 这种喉条通常在垂直关闭后出现,很少需要干预,并且与增加饮食修改需求无关.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 手术瘤学手术瘤学
背景情况:
- 伪门或喉条是全喉切除术后的一个已知的并发症.
- 它的发生率在初级垂直关闭技术中更高.
- 它对食障碍和饮食进展的直接影响尚未得到充分证实.
研究的目的:
- 为了研究伪分离体存在与全喉切除术后口服摄入耐受性之间的关系.
- 评估伪杂对医院出院时饮食进展的影响.
主要方法:
- 50名接受全喉切除或喉切除 (2015-2022) 的患者的回顾病例系列.
- 术后视频光镜用于吞评估.
- 在3个月后记录伪分离体的存在和与口服摄入的相关性.
主要成果:
- 在38%的患者中发现了伪门,与垂直初级关闭显著相关 (p=0.007).
- 伪转与无法容忍固体摄入量或完整饮食之间没有显著的关联.
- 只有一个患者需要进行手术管理才能保持.
结论:
- 伪的存在与术后饮食修改的需要没有显著联系.
- 喉切除术后的消化不全可能是多因素的,涉及喉透静和喉狭窄.
- 伪门是一种常见的发现,但很少需要干预或饮食改变.
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