自诱导的鼻孔穿孔:犀利士痴呆症 - - 与鼻子挑不同的一种实体
Isam Alobid1,2, Natalia Arango Cabezas1, Katherine C Yuen-Ato1
1Rhinology and Skull Base Unit, ENT Department, Hospital Clínic, IDIBAPS, CIBERES, Universitat de Barcelona, Barcelona, Spain.
The Laryngoscope
|November 20, 2024
概括
犀利士痴呆症是一种强迫性鼻子障碍,可以导致鼻腔隔膜穿孔 (NSP). 手术修复NSP显著改善鼻症状和生活质量,成功率很高.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 症状学 症状学
- 生活质量研究 生命质量研究
背景情况:
- 鼻子是常见的,但犀利士痴呆症 (强迫性鼻子) 是一个独特的疾病.
- 鼻腔隔膜穿孔 (NSP) 可能是由于犀利士痴呆症导致的,也可能被犀利士痴呆症加重.
- 区分强迫性鼻和习惯性鼻对于适当的管理至关重要.
研究的目的:
- 为了研究犀利士痴呆症和随后的NSP修复对鼻症状的影响.
- 评估NSP修复对患者生活质量 (QoL) 的影响.
主要方法:
- 包括因犀利士痴呆症而出现症状的NSP患者进行手术修复.
- 通过验证的尺度 (VAS,SNOT-22,NOSE,SF-36) 和测试 (BAST-24,CT扫描) 评估鼻鼻症状和QOL.
- 与健康志愿者 (n=43) 的结果进行比较.
主要成果:
- 招募了37名rhinotillexomania患者; 86.5%的人患有NSP.
- 通过手术修复NSP,成功率达到了96.6%.
- 患者报告说,手术后鼻腔症状和QoL显著改善.
结论:
- 犀利士痴呆症是一种独特的临床实体,需要特殊的管理.
- 建议采用多学科的方法,结合行为疗法和NSP修复.
- 鼻子片和大 palatine 动脉带颠倒的边缘是有效的外科手术技术.
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