粘膜下甲状腺瘤切除术与甲状腺切除术在治疗双边声不移的治疗中
Benjamin Damazo1, Nainika Nanda1, Seth Dailey1
1Division of Otolaryngology, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, U.S.A.
The Laryngoscope
|November 6, 2024
概括
这项研究引入了一种用于双边声不运动 (BVFI) 的新手术方法,该方法可以保持呼吸道功能和语音质量. 这项技术成功地解锁了患者,并改善了呼吸,而不会对声音或吞产生负面影响.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉外科手术 喉外科手术
- 航空航道管理的管理.
背景情况:
- 双边声不运动 (BVFI) 提出了手术上的挑战,平衡呼吸道通透度与声音和吞保存.
- 现有的BVFI手术技术往往导致不良的愈合,颗粒组织和痕,需要进一步的干预.
- 需要一种新的手术方法来改善喉气道的通透性,同时尽量减少术后并发症.
研究的目的:
- 介绍和评估双边声不运动 (BVFI) 的新手术技术.
- 该技术旨在通过保护喉粘膜,利用自然组织收缩来增强喉气道通透性.
- 目标是减少由于颗粒组织和喉痕的修订需求.
主要方法:
- 在2011年至2021年间,对8名BVFI患者的病例系列分析,这些患者从2011年到2021年接受了粘膜下甲状腺膜切除术和膜切除术.
- 术前和术后的评估包括喉腔镜检查,静脉镜检查,以及对语音 (VHI,GRBAS,DSI),吞 (DI) 和呼吸功能 (MMRC) 的验证指标.
- 统计分析使用配对的学生t测试来比较术前和术后的结果.
主要成果:
- 所有八名患者都成功实现了脱管切除,其中四名患者之前需要气管切除.
- 患者报告说,手术后呼吸道症状有所改善,所有患者都能容忍修改后的软或常规饮食,而不会增加食障碍.
- 与手术前状态相比,长期语音结果没有发现显著差异.
结论:
- 粘膜下甲状腺瘤切除术与瘤切除术是BVFI的有效治疗方法.
- 该技术利用了自然痕载体,并保留了关键的喉结构,包括粘膜,表面膜和声带.
- 这种方法为改善呼吸道通透性提供了有希望的解决方案,同时保持了BVFI患者的语音和吞功能.
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