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增大喉膜整形术:结果和决策计划
Laura Tissot1,2, Christol Fabre1,2, Marie-Pierre Aboussouan3
1Otolaryngology-Head & Neck Surgery Department Grenoble Alpes University Hospital Grenoble France.
概括
增强性喉腔整形显著改善了喉功能不充分的患者的语音质量和呼吸. 这项研究强调了声增强作为治疗失声症的有效方法,根据病情严重程度选择可注射物质.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和听力科学 语言和听力科学
- 再生医学是一种再生医学.
背景情况:
- 喉缺陷可能是各种病因的结果,影响语音,吞和呼吸.
- 增强性喉腔整形为喉功能不充分提供了一种治疗选择.
- 几种可注射物质已经在声增强方面表现出有效性.
研究的目的:
- 评估声增强对发音,吞和呼吸的短期影响.
- 分析不同注射材料对声功能的影响.
- 为选择合适的注射材料提出决策计划.
主要方法:
- 从2016年到2023年对79名患有喉功能不全的患者 (97次注射) 进行了回顾性队列研究.
- 使用了 hialuronic 酸, hydroxyapatite 和 polydimethylsiloxane 进行声增大.
- 评估声声 (VHI-10,GRBAS),呼吸 (呼吸障碍指数) 和增加前后的吞.
主要成果:
- 语音质量的显著改善,通过降低VHI-10 (21至16) 和GRBAS分数 (p < 0.001) 表示.
- 呼吸功能显著改善,呼吸障碍指数得分降低 (6至2,p <0.05).
- 喉腔镜检查显示,声体积增强;吞功能没有显著变化.
结论:
- 增强性喉膜整形是有效的治疗由于各种病因的喉功能不充分导致的听力障碍.
- 在手术后,声音和呼吸得到了显著的改善.
- 选择注射剂的材料应以喉缺陷的严重程度和病因学为指导.
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