儿科喉功能障碍症的临床和电动图学特征
Nasser W Alobida1, Ameen Binnasser2, Aleksandra King3
1Divisions of Pediatric Surgery and Otolaryngology-Head and Neck Surgery, The Stollery Children's Hospital and University of Alberta Hospital, Edmonton, Alberta, Canada.
概括
喉运动障碍 (LD) 在患有喉运动障碍 (LMD) 的儿童中很常见,通常会自我限制,症状有所改善. 诊断需要内镜检查和喉电肌图 (LEMG).
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 喉功能障碍 (LD) 是一种影响喉的运动障碍.
- 它经常被误诊或与其他喉疾病混为一谈,影响其已知的流行率和自然史.
- 了解LD的临床和电生理学参数对于准确的诊断和管理至关重要.
研究的目的:
- 确定儿科喉功能障碍症 (LD) 的临床和喉电动图 (LEMG) 特性.
- 为了确定患有喉运动障碍 (LMD) 的儿童中LD的患病率,需要进行完整的气道检查.
- 分析睡眠和吞相关的功能缺陷.
主要方法:
- 在第三级儿科中心进行了回顾性不受控制的研究.
- 包括儿童 (<17岁) 怀疑LMD和诊断的LD,通过内镜和LEMG进行评估.
- 分析了LEMG得分,临床分辨率和功能结果 (吞,打).
主要成果:
- 在需要呼吸道检查的LMD病例中,LD占18.58%.
- 观察到喉运动和LEMG的不对称性,右侧受影响更大.
- 大多数患者 (27/29) 症状有所改善,17人吞困难,27人打.
结论:
- 喉功能障碍 (LD) 是儿科喉运动障碍 (LMD) 中普遍存在的疾病,通常是自我限制的.
- 关键发现包括LEMG不对称,男性占主导地位,以及相关的睡眠和吞问题.
- 准确的诊断需要全面的内镜评估和LEMG,将其与双边声带区分开来.
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