缺口症的特征在高与低的阴道单侧声麻
Madeline Miles Marker1, Liam W Gallagher1, Aanish Puri1
1Department of Otolaryngology-Head and Neck Surgery, University of Minnesota, Minneapolis, Minnesota, USA.
The Laryngoscope
|October 30, 2025
概括
高阴道单侧声麻 (UVFP) 与低阴道UVFP相比,显著增加吞困难. 这两种形式都受益于注射性喉腔整形,尽管行为修改对于管理失消症至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 语音语言病理学 语音语言病理学
背景情况:
- 单侧声麻 (UVFP) 可能是由于迷走神经路径的各个点的损伤造成的.
- 阴道神经损伤的程度可能会影响吞功能障碍 (吞障碍) 和声音变化的严重程度.
- 了解这些差异对于定制治疗和改善患者的治疗结果至关重要.
研究的目的:
- 为了比较高阴道和低阴道UVFP患者之间的仪器吞评估结果和饮食建议.
- 为了评估治疗的有效性,包括注射喉膜整形,对于不同UVFP组的食障碍.
主要方法:
- 进行仪器吞评估的96名UVFP患者的回顾性审查 (2019年9月至2024年2月).
- 分析包括人口统计,EAT-10分数,喉腔镜检查,吞参数,饮食和治疗结果.
- 高波动 (n=28) 和低波动 (n=68) 的UVFP组之间的比较.
主要成果:
- 高的UVFP显示出明显更高的过早泄漏,残留,透,吸收,调整的饮食和行为修改率.
- 注射喉腔整形在两组中都改善了吸收,但高阴道UVFP有更多的残留前处理.
- 在治疗后,高阴道 (63%至19%) 和低阴道 (80%至7%) 两组患者的吞参数均显著改善.
结论:
- 高阴道UVFP与更严重的吞功能障碍有关,需要比低阴道UVFP更频繁的饮食和行为修改.
- 注射性喉腔整形有效地减少了志向,但并没有消除对行为策略的需求.
- 需要进一步的研究来确定UVFP患者下最佳功能吞结果的预测因素.
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