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Larynx01:21

Larynx

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The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
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The Thyroid Gland01:23

The Thyroid Gland

3.3K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
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Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

77
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
77
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

55
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
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...
55
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

210
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
210
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

62
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
62

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相关实验视频

Updated: May 10, 2025

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing
01:00

Minimally Invasive Murine Laryngoscopy for Close-Up Imaging of Laryngeal Motion During Breathing and Swallowing

Published on: December 1, 2023

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甲状腺切除术后的声音障碍

Ivana Šimić Prgomet1, Ratko Prstačić2, Renata Curić Radivojević3

  • 1Phoniatric Center, Department of ENT and Head and Neck Surgery, University Clinical Hospital Center Zagreb, Zagreb, Croatia.

Journal of voice : official journal of the Voice Foundation
|April 25, 2025
PubMed
概括
此摘要是机器生成的。

整体甲状腺切除术 (TT) 患者在手术后的早期经历的语音障碍比分线切除术 (LO) 患者更多,但随着时间的推移,这种差异会减少. 这项研究比较了TT后的语音结果与LO与复发性喉神经保存.

关键词:
语音障碍 单侧叶切除术 整体甲状腺切除术 比较分析

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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
  • 手术结果研究研究.

背景情况:

  • 甲状腺切除术是一种常见的外科手术,它带有复发性喉神经损伤的风险,可能导致语音障碍.
  • 在患者辅导和手术决策方面,区分分分泌管切除术 (LO) 和全甲状腺切除术 (TT) 之间的语音结果至关重要.

研究的目的:

  • 在甲状腺切除术后的患者中比较主观和客观的语音障碍,特别是比较分管切除术 (LO) 与全甲状腺切除术 (TT) 与复发性喉神经保护.
  • 评估这些不同的外科手术方法后,语音质量和声功能的时间演变.

主要方法:

  • 一项前性研究,涉及61名接受甲状腺切除术 (31 LO,30 TT) 的患者在三级护理中心.
  • 语音评估包括主观评估 (GRBAS尺度),客观声学分析 (,闪) 和生活质量 (语音障碍指数 - VHI) 在四个时间点:手术前,手术后7-10天,3个月和6个月.

主要成果:

  • 经过全甲状腺切除术 (TT) 的患者在早期术后期 (第1次测量) 显示出响,粗,喘息的声音和声音紧张的得分明显更高,相比于叶片切除术 (LO) 患者.
  • 客观的声学分析显示,LO和TT组之间的动 (手术后3个月) 和闪 (手术后1个和2个时期) 在LO和TT组之间存在统计学上显著的差异,有利于LO组.
  • 虽然VHI分数和其他声学参数没有达到统计学意义,但GRBAS和声学发现表明TT后的初始语音影响更为明显.

结论:

  • 整体甲状腺切除术 (TT) 与带切除术 (LO) 相比,在早期术后阶段与更显著的主观和客观的语音障碍有关.
  • 在两个手术组之间观察到的语音质量的差异在6个月的随访期间往往会减少.
  • 重复性喉神经保护是关键,但手术程度 (LO vs TT) 影响了手术后立即的声声恢复和患者报告的语音结果.