后壁增大:一种替代的方法来管理鼻回在大无能
Mark H Moore1, Sarut Chaisrisawadisuk1,2, Christina Richards1
1Cleft and Craniofacial South Australia, Women's and Children's Hospital, Adelaide, Australia.
The Journal of craniofacial surgery
|March 26, 2025
概括
后喉壁增大有效地治疗鼻在患者的鼻不称职 (VPI). 这种外科选择显著改善了吞功能和生活质量,没有并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语言病理学 语音病理学
- 整形外科 整形外科 整形外科
背景情况:
- 大鼻无能症 (VPI) 主要以言语问题而闻名,通常会掩盖像鼻吐这样的相关症状.
- 目前对VPI的手术选择主要是解决语音缺陷,使鼻不得到充分治疗.
- 鼻反显著影响患者的生活质量和营养摄入量.
研究的目的:
- 评估后壁增强 (PPWA) 使用肋骨软骨用于管理VPI患者鼻的疗效.
- 为了确定PPWA是否可以成功地解决鼻,即使它是唯一或主要的症状.
- 评估PPWA在VPI相关的鼻回患者队列中的安全性和结果.
主要方法:
- 五年来在南澳大利亚的Cleft and Craniofacial South Australia治疗的患者的回顾性审查.
- 纳入标准侧重于经历鼻反的VPI患者,他们接受了PPWA.
- 同时使用鼻腔镜和侧面视频光镜进行患者评估.
主要成果:
- 在20名PPWA患者中,有8人报告鼻作为主要或次要症状.
- 所有接受PPWA治疗的患者都经历了鼻反的显著改善.
- 手术后的评估证实了后喉壁的成功升高,没有观察到任何并发症.
结论:
- 后壁增大 (PPWA) 是一种有效的手术治疗VPI患者的鼻.
- PPWA为吐提供了可行的解决方案,改善了患者的生活质量.
- 综合语音和吞管理的多学科方法对于全面的VPI护理至关重要.
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