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用于诱导器性失声症进行肌髓切除术:长期结果,并发症和复发
Domingos Hiroshi Tsuji1, Adriana Hachiya2, Rui Imamura1
1Department of Otorhinolaryngology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
The Laryngoscope
|November 15, 2024
概括
甲状腺状腺 (TA) 肌肉的内神经切除术 (EMN) 为添加器性失声症 (AdSD) 提供了显著的声乐改善. 这种治疗显示出高的成功率与可控的副作用,使其成为一个有效的长期解决方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 语音语言病理学 语音语言病理学
背景情况:
- 附带器性失声症 (AdSD) 是一种慢性神经学语音障碍.
- 目前的治疗方法旨在缓解症状并改善声乐功能.
- 内镜肌瘤切除术 (EMN) 针对的是甲状腺状腺 (TA) 肌肉.
研究的目的:
- 评估EMN对AdSD的长期疗效和安全性.
- 评估声乐结果,不良影响和复发率.
- 确定EMN对语音生活质量的影响.
主要方法:
- 48名患有AdSD的患者接受了多达三次TA肌肉的EMN.
- 随访持续时间至少为18个月.
- 通过语音障碍指数 (VHI-30) 和主观患者报告评估声乐结果.
主要成果:
- 观察到的成功率为79.2% (38名患者).
- 中位数的VHI-30得分从97提高到26.
- 常见的不良反应包括颗粒瘤 (18例).
结论:
- TA肌肉的EMN为AdSD提供了相当大的声乐益处.
- 可以实现高成功率,可能需要多个程序.
- 该程序表现出良好的安全性,并发症率低.
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