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喉膜片与结合的喉膜片与下粘膜注射的芬伊托因用于 palatal 的修复
Hoda Ismail Abdelhamid1, Mohammad Waheed El-Anwar1, Nasser Elnakib2
1Otorhinolaryngology-Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
概括
这项研究比较了单独的L喉皮手术与用于 palatal fistula和velopharyngeal insufficiency (VPI) 修复的phenytoin组合. 这两种方法都关闭了管并改善了语音,而氨酸显示了增强的愈合和语音结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 语言病理学 语音病理学
背景情况:
- 宫囊和耳鼻缺陷 (VPI) 在言语和口腔功能方面存在重大挑战.
- 手术修复通常涉及复杂的程序,如L喉片.
研究的目的:
- 为了比较单独使用L喉片的疗效与与phenytoin结合用于 palatal fistula和VPI修复的疗效.
- 评估氨酸对手术愈合和功能结果的影响.
主要方法:
- 20名患有软囊和VPI的患者被分为两组.
- 第一个组:L喉皮手术. 第二组:L喉皮手术,注射下内胺.
- 术前和术后的评估包括视频鼻内镜和语音分析.
主要成果:
- 在所有患者中, palatal 囊的完全关闭得到了实现.
- 手术后观察到鼻腔排放,口内压力,共振和关节的显著改善.
- 两组都实现了4级膜关闭; 氨酸组显示了增强的语音改善.
结论:
- 喉皮手术对于口腔和VPI修复是有效的.
- 在VPI修复过程中,下芬伊托因注射似乎增强了愈合和改善了语音结果.
- 结合方法是安全有效的,用于单阶段的手术纠正口腔和VPI.
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