双边声运动障碍与扩散性异常性骨超静止症相关
Diego E Razura1,2, Elizabeth A Shuman2, Michael M Johns2
1Quillen College of Medicine East Tennessee State University Johnson City Tennesse USA.
OTO open
|September 2, 2024
概括
由于扩散性异常性骨超静止症 (DISH) 的症状双侧声运动障碍 (BVFMI) 可以通过手术或观察来管理. 对于与DISH相关的BVFMI的治疗决策应该是个性化的,以获得最佳的患者结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 类风湿病学 类风湿病学
背景情况:
- 扩散性异常性骨高静止症 (DISH) 是一种疾病,其特点是带和带的广泛化和骨化.
- 双边声运动障碍 (BVFMI) 是DISH的罕见但潜在的严重并发症,特别是当它影响椎脊柱时.
- 症状性BVFMI可能导致显著的发病率,包括呼吸障碍,语音障碍和口腔障碍.
研究的目的:
- 描述患者的临床特征,干预措施和结果与症状的BVFMI归因于DISH.
- 审查有关DISH相关BVFMI及其管理的当前文献.
主要方法:
- 对DISH.二次性症状BVFMI的患者进行了回顾性队列研究.
- 在2021年2月至2023年3月期间进行的图表审查和文献搜索.
- 分析患者的人口统计,症状,并发症,干预措施和结果.
主要成果:
- 确定了四名患有椎脊椎DISH和症状BVFMI的男性患者.
- 症状范围从危及生命的呼吸障碍到呼吸障碍和呼吸障碍.
- 两名患者接受了骨细胞切除,声流动性和语音质量得到改善;两名患者选择了观察.
- 文献审查显示男性占主导地位,平均年龄为70岁,以及诸如高血压和糖尿病等常见的并发症.
结论:
- 手术和保守干预都能提供症状缓解,并改善与DISH相关的BVFMI中的声流动性.
- 应根据症状严重程度和患者偏好进行个性化的治疗.
- 需要进一步的研究来阐明病因和优化这种罕见疾病的治疗策略.
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