扩大内镜内外科手术后的临时鼻发病,用于骨底部瘤
Lidia Dennis Chiramal1, Rajan Sundarasan1, Ari G Chacko2
1Department of ENT, Christian Medical College, Vellore, Tamil Nadu, India.
Journal of neurological surgery. Part B, Skull base
|January 8, 2026
概括
扩展的内镜内鼻腔方法会导致暂时的嗅觉丧失和鼻子问题. 虽然大多数患者康复了,但有些人经历了轻微的持续性嗅觉功能障碍和手术后生活质量下降.
科学领域:
- 神经外科 神经外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头骨底部手术 头骨底部手术
背景情况:
- 头骨底部瘤通常需要复杂的手术干预.
- 扩展内镜内腔方法 (EEA) 提供了对骨底部病变的最小侵入性访问.
- 评估EEA对嗅觉功能和生活质量 (QOL) 的影响对于患者的治疗结果至关重要.
研究的目的:
- 为了评估头骨底部瘤的EEA患者的嗅觉功能障碍和QOL.
- 确定EEA对嗅觉和鼻子健康的短期和中期影响.
主要方法:
- 一项前性观察性研究,涉及29名患者接受前骨底和脑垂体病变的EEA.
- 使用康涅狄格州化学感官临床研究中心的嗅觉测试来评估嗅觉功能.
- 使用中鼻结局测试22 (SNOT-22) 问卷来评估QOL.
- 术前和术后2周和3个月进行的评估.
主要成果:
- 与手术前基线相比,术后2周嗅觉得分明显恶化.
- 3个月后,48%的患者恢复了基线的嗅觉,48%的患者有轻度低血,1个患者有中度低血.
- 术后立即QOL得分显著下降,在3个月后出现改善,但没有达到手术前水平.
结论:
- 前底瘤的EEA导致过渡性嗅觉功能障碍和鼻腔发病率.
- 虽然大多数患者经历了改善,但大约50%的患者在3个月后可能有轻微的残留嗅觉功能障碍.
- 嗅觉上皮质保护技术,术后鼻腔护理和淋浴可以改善嗅觉结果.
相关概念视频
01:30Epistaxis
510
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
510
01:29Suctioning the Nasopharyngeal Airway
2.9K
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
2.9K
01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
512
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
512