在医疗和手术治疗喉病患者中,吞功能障碍的患病率和危险因素
Janelle Sloychuk1, Amy Callaghan2, Amanda Adsett3
1Department of Surgery, Division of Otolaryngology-Head and Neck Surgery University of Alberta Edmonton Alberta Canada.
OTO open
|October 2, 2024
概括
患有喉 (LM) 的患者经常出现显著的吞功能障碍 (SwD),许多患者需要医疗干预. 建议对所有被诊断为LM的婴儿进行例行吞评估.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科胃肠病学 儿科胃肠病学
- 语音语言病理学 语音语言病理学
背景情况:
- 喉病 (LM) 是一种常见的先天性疾病,影响喉.
- 吞功能障碍 (SwD) 在患有LM的婴儿中可能是显著的并发症.
- 在LM患者中SWD的患病率和特征需要进一步阐明.
研究的目的:
- 为了确定SWD在LM患者队列中的患病率,模式和性质.
- 为了确定与此种人群中较高的SWD负担相关的因素.
主要方法:
- 对212名被诊断为LM的儿科患者进行了回顾性审查.
- 进行了系统的临床吞评估和仪器评估 (VFSS/FEES).
- 收集了关于吞异常,干预措施和结果的数据.
主要成果:
- 54%的患者接受了仪器吞评估,其中69%显示异常.
- 26%的患者经历了喉穿透和/或吸入.
- 严重的LM和手术治疗与更高的吸血率相关.
结论:
- 患有LM的婴儿表现出高频率的消化不良,需要医疗干预.
- 系统的吞评估对于所有被诊断为LM的患者至关重要.
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