一项13年来对气管食道假体进行的回顾性研究,结果来自单一机构
Nathalia Peres Borges Dos Santos1, Izabella Costa Santos2, Ana Catarina Alves E Silva3
1Speech Language Pathologist, Head and Neck Surgery Service, Brazilian National Cancer Institute, Rio de Janeiro, Brazil.
气管食道口腔假体 (TEP) 康复对于大多数全喉切除术患者是有效的,在95%的患者中实现了发音. 谨慎管理和语音治疗是预防并发症和切除假肢的关键.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
- 语音语言病理学 语言病理学
背景情况:
- 气管食道口腔假体 (TEP) 是声乐康复术后喉切除术的黄金标准.
- 评估患者个人资料对于优化TEP结果至关重要.
- 了解影响成功声乐康复的因素是必不可少的.
研究的目的:
- 为了描述接受全喉切除术和TEP康复的患者.
- 为了确定与声乐康复结果相关的变量.
- 分析2006-2019年巴西国家癌症研究所 (BNCI) 的TEP成功率.
主要方法:
- 追溯队列研究的设计.
- 包括在BNCI接受TEP的全喉切除术患者.
- 从医疗记录 (2006-2019) 收集数据.
主要成果:
- 分析了165名患者,84.8%是男性,吸烟率高 (77%) 和重度饮酒率高 (76.4%).
- 在95.15%的患者中实现了声调.
- 由于并发症或新瘤,TEP移除发生在29.1%的患者中.
结论:
- 老年患者,晚期瘤和救援喉腔切除术可能会增加并发症风险.
- 多学科团队的随访和一致的语言治疗是至关重要的.
- 定期对TEP和声道进行评估可以防止并发症和假肢损失.
更多相关视频
09:40An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
09:07Author Spotlight: Advancing Endoscopic Ossiculoplasty – Techniques, Innovations, and Practical Guidance for Clinical Integration
Published on: January 26, 2024
相关概念视频
Oxygen Delivering System III: Tracheostomy and T-piece
Tracheostomy
A tracheostomy is a surgically created opening (stoma) in the anterior part of the trachea. It is used to establish a patient airway, bypass an upper airway obstruction, simplify the removal of secretions, permit long-term...
Tracheostomy Care I: Pre-procedural Steps
Required Equipment
The equipment necessary for tracheostomy care includes:
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
Venturi Mask
The Venturi mask, named after the Venturi effect, is designed to deliver precise oxygen concentrations. It consists of a large tube with an oxygen inlet that narrows down, causing a pressure drop that pulls air in through adjustable side ports. The mask is a lightweight,...
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
