在复发性喉神经重建后的长期发音状态
Akihide Matsunaga1, Akira Miyauchi2, Shiori Adachi1
1Department of Head and Neck Surgery, Kuma Hospital, Kobe, Japan.
Surgery
|September 30, 2025
概括
经常性的喉神经重建手术可以早期恢复声器功能,在手术后10多年内观察到持续的轻微改善. 长期结果显示持续的声功能恢复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 声带手术是声带手术.
- 神经外科 神经外科
背景情况:
- 重复性喉神经重建的长期结果尚未得到充分证实.
- 之前的研究集中在短期的声器功能恢复.
- 这项研究调查了在重建后的10年内声功能.
研究的目的:
- 在重复性喉神经重建后评估长期的声管功能.
- 为了评估十多年来最大发声时间和平均流速的变化.
- 在长时间的随访期间分析患者报告的语音障碍.
主要方法:
- 复发性喉神经重建的212名患者的回顾性分析.
- 在手术前和手术后测量最大发声时间和平均流量.
- 语音残疾指数-10问卷的管理在最后一次访问时,随访被分为三个时期:>6个月-2年,>2-10年和>10年.
主要成果:
- 手术前声带的患者表现出音声时间和流量率的显著改善,长期维持.
- 没有手术前的患者经历了语音恢复,但发音时间和流速没有达到手术前的水平.
- 大多数患者的语音障碍指数-10分数随着时间的推移而有所改善,这表明了更好的语音功能和生活质量.
结论:
- 重复的喉神经重建有效地恢复了手术后早期的声器功能.
- 在重建后的10多年里,声功能中适度,持续的改善持续存在.
- 重建性手术为患有声带的患者提供长期益处.
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