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Amr Youssef Arkoubi¹

¹Department on Anesthesia and Surgery, Faculty of Medicine, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.

Frontiers in surgery

|September 5, 2025

概括

通常与减肥有关,导致令人烦的耳部症状. 在体重相关的病例中, 手术包括气球扩张和脂肪注射提供了暂时缓解.

科学领域:

耳鼻喉科
外科创新
患者病例研究

背景情况:

流动性欧斯塔基管 (PET) 功能障碍是一种罕见的疾病,由于异常开放的欧斯塔基管引起自声和耳.
显著的体重减轻,如袖子胃切除术后,可以加速或加剧PET症状.
之前的治疗方法,如通风管,可能具有有限的疗效.

研究的目的:

在减肥手术后报告一个体重依赖的管功能障碍 (PET).
描述PET联合手术治疗的诊断过程和结果.
突出 PET 管理的挑战和潜在治疗途径.

主要方法:

通过临床和鼻检查证实PET的诊断,发现双侧流动的尤斯塔希管.
手术包括双边气球扩张和自身脂肪/血注射到欧斯塔基管口.
对患者的体重进行监测,并将症状的严重程度与体重相关联.

主要成果:

患者在手术后六个月内暂时出现症状缓解.
当患者体重降至80公斤以下时,PET症状再次出现,这表明体重依赖.
结合的手术方法提供了部分的,虽然不是完全的,长期的症状缓解.

结论:

结合手术技术,包括气球扩张和脂肪注射,可以暂时缓解PET功能障碍.
体重波动显著影响PET症状的严重程度,需要在治疗中考虑体重管理.
需要进一步的研究来开发更耐用,更有效的PET治疗方法.

关键词:

自音声气球扩张腹部外科手术脂肪移植流动的欧斯塔基管

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