经过修改的技术,用于困难的二次气管食道穿刺.
Michelle Yoon1,2, Justin Joseph1,2, Ricardo Ramirez2,3
1THANC (Thyroid, Head and Neck Cancer) Foundation, New York, New York, USA.
Head & neck
|January 10, 2025
概括
这项研究介绍了一种经过修改的气管食管穿刺 (TEP) 技术,使用灵活的内镜来恢复喉切除患者的声音. 这种创新方法有效地恢复了声音,即使在具有挑战性解剖学的患者中也是如此.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术创新 在外科创新.
- 语音恢复 语音恢复
背景情况:
- 使用语音假体 (VP) 进行气管食道穿刺 (TEP) 是喉切除术后语音恢复的标准.
- 在有后辐射变化,部移动性有限或三症的患者中,用于TEP的常规刚性食道镜很困难.
研究的目的:
- 描述一种使用灵活内镜的修改TEP技术,用于难以解剖的患者.
- 在一个具有挑战性的案例中展示有效的语音恢复.
主要方法:
- 一种经过修改的TEP/VP安置技术,使用灵活的内镜和内管.
- 在全身麻醉下进行的手术,包括提取脱落的假肢.
主要成果:
- 成功地恢复了TEP通道和VP放置.
- 在具有具有具有挑战性的解剖形状的患者中实现有效的语音恢复.
结论:
- 修改后的灵活内镜技术为TEP/VP安置提供了安全有效的替代方案.
- 这种方法对暴露困难和复杂解剖学的患者尤其有益.
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