在甲状腺切除术期间,内科注射喉腔整形对声麻的有效性
Hye Rim Chae1, Ju Yun Nam1, Seung Jin Lee2
1Department of Otorhinolaryngology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Journal of voice : official journal of the Voice Foundation
|November 20, 2025
概括
在甲状腺手术期间同时注射喉膜整形 (IL) 有效治疗喉神经 (RLN) 复发性损伤,在手术后3-6个月内改善语音质量. 这种安全的技术为发声麻提供了传统IL的替代方案.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 甲状腺手术 甲状腺手术
- 语音恢复 语音恢复
背景情况:
- 在甲状腺切除术期间重复的喉神经 (RLN) 损伤可能导致声麻和失声症.
- 传统的注射喉膜整形术 (IL) 是在术后进行的,通常会延迟语音恢复.
研究的目的:
- 评估在手术内RLN损伤的情况下与甲状腺手术同时进行IL的疗效和安全性.
- 为了比较立即IL和延迟的术后IL之间的语音结果.
主要方法:
- 在甲状腺切除术期间RLN损伤后接受立即IL的13名患者的前性分析.
- 语音参数在IL后的1个月,1-3个月和3-6个月被评估.
- 包括12名患有术后IL延迟的患者的比较组.
主要成果:
- 立即的IL导致单边声固定,而没有球功能不充分.
- 在IL后3-6个月观察到声音参数 (,闪,CSIDv,CPPs) 的显著改善.
- 立即IL没有报告任何不良事件,其疗效/安全性与延迟IL相当.
结论:
- 在甲状腺切除术期间同时使用IL是一种安全有效的选择,用于管理单边RLN损伤.
- 这种方法可以改善语音结果,并减轻与声麻相关的早期术后并发症.
更多相关视频
相关概念视频
Skeletal Muscle Relaxants: Therapeutic Uses
861
Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx...
861
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
445
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
445


