在横侧头骨基底外科手术后,严重的失声症和失声症的管理
Yanyan Niu1, Chuan Chen1, Xiaofeng Jin1
1Department of Otolaryngology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
Journal of voice : official journal of the Voice Foundation
|October 4, 2024
概括
这项研究表明,结合自主脂肪注射喉膜整形 (AFIL) 和横喉肌切除术 (TCPM),在经过横骨基手术后严重听力障碍和消化障碍的患者中显著改善了语音和吞功能,没有重大并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 语音和语言病理学 语言病理学
背景情况:
- 侧侧头骨底部手术可能会损害下神经,导致语音 (听力障碍) 和吞 (消化障碍) 问题.
- 这些问题的现有治疗方法的成功程度有限,影响了患者的生活质量.
研究的目的:
- 评估使用自主脂肪注射喉膜造形术 (AFIL) 和跨宫喉肌切除术 (TCPM) 的联合手术方法的安全性和有效性.
- 治疗严重的失声症和失声症在患者的后侧头骨底部手术.
主要方法:
- 对16名同时接受AFIL和TCPM的患者进行了回顾性分析.
- 在手术前后进行语音和吞评估,使用VHI-10,GRBAS,MPT,CSWAL-QOL和VFSS.
主要成果:
- 在语音质量 (VHI-10,GRBAS) 和语音持续时间 (MPT) 显著改善.
- 在吞功能显著增强 (CSWAL-QOL,VFSS-SWAL,PAS分数).
- 胃管切除在9/11患者中是成功的;没有报告任何重大并发症.
结论:
- 同时的AFIL和TCPM是在横侧头骨底部手术后严重的听力障碍和失声症的有希望的重建选择.
- 这种综合方法在术后管理复杂的下神经损伤时具有价值.
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