优化声带结节的管理策略:系统审查
Mohammed H Baali1, Mohammad H Shaheen2, Meshal F Khan3
1Otolaryngology - Head and Neck Surgery Department, King Abdulaziz Specialist Hospital, Taif, SAU.
Cureus
|January 20, 2025
概括
声带结节 (VCNs) 的管理有所不同. 语音治疗是首选的,但缓慢;手术为成熟的结节提供更快的结果. 一个新的算法考虑了患者因素,以获得最佳的VCN治疗决策.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
背景情况:
- 声带结节 (VCNs) 存在各种治疗挑战.
- 对VCN的最佳管理策略仍然是争论的主题.
研究的目的:
- 审查共同的VCN管理策略和结果.
- 加强对VCN治疗的临床决策.
主要方法:
- 在PubMed,Web of Science和Scopus的系统文献搜索.
- 将VCN干预 (治疗,药物,手术) 的原始文章纳入到2024年4月.
- 数据提取和分析由两个独立的审查员.
主要成果:
- 语音治疗是主要的非侵入性方法,但需要延长治疗时间.
- 手术可以立即改善VCN,但需要术后治疗以防止复发.
- 对于硬或成熟的结节,手术比语音疗法更有效.
结论:
- 患者的年龄,VCN持续时间,形态和治疗遵守是关键的预后因素.
- 一个拟议的算法整合了这些因素,以指导VCN管理.
- 考虑预后因素的方法方法对于有效的VCN治疗至关重要.
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