在办公室的欧斯塔希管扩张可以减少气压挑战患者的症状
Martin Nue Møller1, Debbie Berthelsen1, Malene Svahn1
1Dept. of Oto-rhino-laryngology, Head and Neck Surgery & Audiology, Søernes Privathospital, Copenhagen, Denmark.
The Laryngoscope
|August 31, 2024
概括
欧斯塔基管的气球扩张有效地治疗功能障碍,即使是在只有barochallenge症状的患者中. 这种使用局部麻醉的办公室手术提供了显著的症状缓解,非常适合门诊环境.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 最少侵入性手术的方法
- 尤斯塔基管疾病 尤斯塔基管疾病
背景情况:
- 慢性尤斯塔希管功能障碍 (ETD) 越来越多地使用气球扩张来治疗.
- 一部分患者呈现出巴罗挑战诱导的症状,代表了一个重要的患者群体.
- 气球扩张对这种特定亚组的疗效需要在门诊环境中进行研究.
研究的目的:
- 评估办公室气球扩张对于欧斯塔基管功能障碍 (ETD) 的有效性.
- 评估在患有巴罗挑战诱导症状的患者中该程序的效用.
- 为了确定这种最小侵入性技术是否适合私人实践.
主要方法:
- 在132名参与者中,在局部麻醉和轻度镇静下进行了246次气球扩张手术.
- 使用局部麻醉剂,包括2%的特拉卡因烯,西洛卡因喷雾剂和利多卡因/普洛卡因凝.
- 评估欧斯塔基管功能,使用欧斯塔基管功能障碍问卷-7 (ETDQ-7) 和视觉模拟尺度 (VAS) 在手术前和后 (3个月和12个月).
主要成果:
- 在术后观察到ETDQ-7和VAS得分的显著改善 (p=0.0001).
- 在局部麻醉下进行手术的平均疼痛分数为3.4/10.
- 该程序显示了良好的安全性和耐受性.
结论:
- 欧斯塔基管气球扩张显著缓解ETD的症状,特别是在非生理压力变化期间.
- 这种手术非常适合于门诊或私人诊所.
- 局部麻醉和轻度镇静可提供足够的疼痛控制和患者舒适.
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