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在单边声麻中进行补充性再内尔化
Andreas H Mueller1, Kathleen Klinge1, Gerhard Foerster1
1Department of Otorhinolaryngology/Plastic Surgery SRH Wald-Klinikum Gera Gera Germany.
Laryngoscope investigative otolaryngology
|February 26, 2025
概括
补充性安萨宫神经肌肉脚部喉再内内化 (ANMP-LR) 有效地在单侧声麻 (UVFP) 中关闭了喉间隙. 这种技术可以显著改善语音,而不会影响现有的神经功能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经外科 神经外科
- 语音和语言病理学 语言病理学
背景情况:
- 单侧声麻 (UVFP) 显著损害了语音质量和功能.
- 当前的再生内核技术可能存在局限性或风险.
研究的目的:
- 为了评估补充性安萨宫神经肌肉脚部喉膜再内内化 (ANMP-LR) 的有效性,用于UVFP的囊隙关闭.
- 根据ANMP-LR. 评估语音结果和功能参数.
主要方法:
- 12名UVFP患者接受了ANMP-LR.
- 语音障碍指数 (VHI),感知到的粗和喘息,最大发音时间 (MPT),音压水平 (SPLmax),失声严重程度指数 (DSI) 和喉间隙 (GG) 在基线和手术后最多24个月被评估.
主要成果:
- 在ANMP-LR后3-6个月内观察到VHI,MPT,SPLmax和GG的显著改善.
- 这些功能性收益在长达24个月的时间内保持稳定.
- 观察到SPLmax和GG进一步改善的趋势不显著.
结论:
- ANMP-LR是一种可行且有效的技术,用于在UVFP中关闭喉隙.
- 该程序在技术上是简单的,并保留了回复性喉神经 (RLN) 功能.
- 早期的ANMP-LR再内尔化有利于年轻的患者,其同运动再内尔化不足.
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