使用修改的吞功能障碍概况 (MBSImP) 来描述全喉切除术后的吞功能
Sana Smaoui1, Leyn Bashar Shakhtour2, Tatiana Ferraro2
1Department of Hearing and Speech Sciences Faculty of Allied Health, Kuwait University Safat Kuwait.
Laryngoscope investigative otolaryngology
|August 12, 2025
概括
在全喉切除术 (TL) 后,吞困难很常见. 修改的海损伤概况 (MBSImp) 发现了频繁的生物机械问题,但在TL后的应用需要谨慎.
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
- 吞障碍 吞障碍 吞障碍
背景情况:
- 全喉切除术 (TL) 显著改变了头部和部解剖学.
- 吞功能障碍是TL之后的常见后果.
- 修改的酸吞障碍概况 (MBSImp) 是一个验证的工具来评估吞生理学.
研究的目的:
- 用MBSImp在TL后的患者中确定吞生理变化的频率.
- 评估当前MBSImp组件对TL后独特解剖学的适用性.
- 为了确定在TL人群中普遍存在的特定吞障碍.
主要方法:
- 追溯性研究设计.
- 视频光镜吞研究 (VFSS) 对TL后患者的分析.
- 盲人语音语言病理学家使用MBSImP协议对VFSS进行特设后期评分.
主要成果:
- 由于TL后的解剖学变化,几个MBSImp组件 (6,8,9,10,11) 不能被测量.
- 普遍存在的功能缺陷包括喉剥离波损伤,喉食道段开放,舌头底部收缩,喉残留物和食道清除.
- 在这些受损地区,效率问题最为明显.
结论:
- 在TL后的患者中,生物力学吞障碍的高频率存在.
- 虽然MBSImp得到了验证,但它需要谨慎的应用和对TL后重建解剖学进行潜在的修改.
- 需要进一步的研究来完善MBSImp组件,以准确评估TL后食障碍.
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