面部神经麻中的口腔功能:软和同运动性麻的比较分析
Megan Lai1, Emma Charters1, Tsu-Hui Low2
1Department of Head and Neck Surgery, Chris O'Brien Lifehouse, Sydney, Australia; School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia; Sydney Facial Nerve Service, Chris O'Brien Lifehouse, Sydney, Australia.
概括
与同运动性FNP患者相比,面部神经麻 (FNP) 患者的言语和吞结果更差. 这突出了不同的挑战,需要针对软性FNP进行量身定制的治疗,以改善生活质量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 语音语言病理学 语言病理学
背景情况:
- 面部神经麻 (FNP) 显著影响口腔功能和生活质量 (QOL).
- 软性和同运动性FNP之间存在明显的挑战,但仍然没有特征.
- 了解这些差异对于有针对性的患者管理至关重要.
研究的目的:
- 描述和比较发言,吞和QOL在患者的松与同运动FNP.
- 要区分与这两种FNP亚型相关的功能结果.
- 以FNP特征为基础,为不同的治疗途径提供信息.
主要方法:
- 从专业的面部神经服务中招募了患有下部运动神经元FNP的患者.
- 通过临床医生和患者评估的措施评估口腔能力.
- 使用辅音分析,可理解性评分,语音障碍指数 (SHI) 和口语能力问卷 (OCQ).
主要成果:
- 其中65名参与者包括16个完整的,31个协同运动的FNP,18个的FNP.
- 软弱的FNP组显示出明显更多的语音错误和较差的可理解性 (临床医生和患者的评分).
- 软性FNP组在OCQ上报告了明显较差的结果,但不是SHI,与同运动性FNP相比.
结论:
- 软性和同运动性FNP是具有不同特征的截然不同的条件.
- 患有松性FNP的患者在吞和语音相关的QOL方面表现较差的功能结果.
- 这些发现支持了为每个FNP类型量身定制的治疗策略的需要.
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