与气管食道假体并发症相关的患者因素:一个回顾性TrinetX研究
Sandhya Ganesan1, Sofia A Finestone2, Sana Smaoui3
1The Division of Otolaryngology - Head & Neck Surgery, The George Washington University School of Medicine and Health Sciences, Washington, DC, United States of America; The Renaissance School of Medicine at Stony Brook University, Stony Brook, NY, United States of America.
American journal of otolaryngology
|May 31, 2025
概括
像GERD和食道狭窄等患者因素增加了气管食道穿孔 (TEP) 并发症的风险,并在全喉切除术 (TL) 后更频繁地改变了语音假体. 仔细的患者选择和咨询对于优化语音恢复结果至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 手术结果研究研究.
背景情况:
- 使用语音假体进行气管食道穿刺 (TEP) 是全喉切除术 (TL) 后恢复语音的常见方法.
- 确定影响TEP功能和并发症率的患者因素对于改善结果至关重要.
研究的目的:
- 确定与TEP更改和维护需求增加相关的患者特异性因素.
- 为了确定与TEP相关并发症相关的患者因素.
主要方法:
- 在TriNetX研究网络中对4145名接受TEP的患者进行了回顾性队列研究.
- 根据相关疾病 (糖尿病,GERD,甲状腺功能低下等) 的分层. ),辐射史和TEP类型 (初级与二级).
- 卡普兰-梅尔分析用于改变假肢的时间;对并发症的风险计算 (,感染,泄漏,吸入性肺炎,消化不良).
主要成果:
- 糖尿病,甲状腺功能低下症,GERD和食道狭窄症与更高的假体泄漏风险,,感染,吸入性肺炎和消化不良有关.
- 与二次TEP相比,初级TEP与和感染率的增加相关.
- GERD和食道狭窄需要更频繁的假肢更换 (平均更换时间为72天).
结论:
- 患者的并发症显著影响TEP寿命和并发症率.
- 在TL之后优化患者选择TEP至关重要.
- 关于潜在并发症和增加维护的知情咨询对于考虑TEP恢复语音的患者至关重要.
相关概念视频
Oxygen Delivering System III: Tracheostomy and T-piece
2.4K
Oxygen delivery is critical in clinical care, especially for patients with respiratory disorders or those undergoing surgical procedures. Various systems, such as tracheostomy and the T-piece, deliver oxygen to the lungs, ensuring adequate arterial oxygenation.
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
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...
2.4K
Tracheostomy: Procedure and Tubes
1.3K
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...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
1.3K
Oxygen Delivering System II: Venturi Mask and Transtracheal Oxygen
1.0K
Oxygen therapy is a pivotal aspect of medical care, particularly for patients with respiratory ailments. Two prominent oxygen-delivering systems include the Venturi mask and the transtracheal oxygen catheter.
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,...
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,...
1.0K
Tracheostomy Care I: Pre-procedural Steps
404
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:
Required Equipment
The equipment necessary for tracheostomy care includes:
404
Endotracheal Intubation I: Procedure
3.3K
Endotracheal or ET intubation is a critical medical procedure used to secure a patient's airway, often in acute respiratory distress, apnea, upper airway obstruction, ineffective clearance of secretions, high risk for aspiration, or during general anesthesia.
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
The ET tube comprises various components, including a standard adaptor to attach a bag-valve-mask (BVM) or ventilator, a cuff, a pilot balloon, and radiopaque markings along its length to measure the insertion distance. The tube sizes...
3.3K
Trachea
2.8K
The trachea, commonly known as the windpipe, is a vital part of the human respiratory system. It serves as a passageway for air to travel between the larynx and the bronchi, allowing oxygen to reach the lungs. Let's explore its anatomical features, dimensions, layers of the tracheal wall, associated muscles, and the functions of its parts.
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
Anatomical Features:
Location: About half of the trachea is situated in the neck, anterior to the esophagus, and extends from the larynx (at the level of...
2.8K


