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上呼吸道狭窄对办公室蓝色激光手术患者耐受性的影响
Abdul-Latif Hamdan1, Marc Mourad1, Patrick Abou Raji Feghali1
1Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Journal of voice : official journal of the Voice Foundation
|March 21, 2025
概括
在激光手术患者中常见的上呼吸道狭窄,通常不会影响耐受性. 建议对有耳鼻/鼻狭窄的患者进行仔细的内镜处理,以尽量减少不适.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 激光手术 激光手术是一种激光手术.
- 患者安全 患者安全
背景情况:
- 对喉病变的办公室激光手术越来越常见.
- 患者的耐受性和不适是程序成功的关键因素.
- 上呼吸道解剖学可以影响内镜手术.
研究的目的:
- 评估上呼吸道狭窄对办公室激光手术患者耐受性的影响.
- 确定狭窄的特定解剖部位及其与患者报告结果的相关性.
主要方法:
- 在办公室进行蓝色激光手术的89名患者的回顾性图表审查.
- 评估四个上呼吸道部位 (鼻子,鼻,耳鼻/鼻,喉) 的收窄情况.
- 使用了爱荷华州对麻醉量表 (IOWA) 和视觉模拟量表 (VAS) 的满意度.
主要成果:
- 鼻缩是最常见的 (74.1%),其次是鼻缩 (23.5%) 和耳鼻/鼻缩 (20.2%).
- 喉狭窄发生在11名患者中,往往是由于表皮内.
- 在患有或没有喉收窄的患者之间,在IOWA或VAS评分中没有发现显著差异,除了影响VAS的耳鼻/鼻收窄 (P=0.011).
结论:
- 上呼吸道狭窄通常对患者的耐受性和这种环境中的不适影响不大.
- 勤奋的内镜处理至关重要,特别是对于耳鼻/鼻狭窄的患者来说,以减轻潜在的不适.
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