在接受空气消化手术的儿童中,声运动障碍和吸气风险
Abdimajid Mohamed1, Shawn Izadi1, Kathryn Davidson2
1Department of Pediatric Surgery, Esophageal and Airway Treatment Center, Boston Children's Hospital, Boston, MA, USA.
Journal of pediatric surgery
|January 14, 2026
概括
儿科空气消化手术可能会导致声运动障碍 (VFMI),导致吸气. 连续修改的吞研究对于评估VFMI儿童的吸入风险至关重要,因为仅仅症状是不够的.
科学领域:
- 儿科外科手术 儿科外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
背景情况:
- 回复性喉神经 (RLN) 损伤是儿科空气消化手术的并发症.
- 声运动障碍 (VFMI) 可能导致吸气和呼吸问题.
- 目前尚不清楚VFMI的自然史及其对愿望风险的影响.
研究的目的:
- 在儿科气消化手术后调查声运动障碍 (VFMI) 的自然史.
- 用修改的吞 (MBS) 研究来评估新发性VFMI儿童的吸入风险.
- 确定VFMI恢复与愿望风险变化之间的关系.
主要方法:
- 对儿童 (0-18岁) 进行了新的VFMI宫胸部后气消化手术 (2018-2023) 的回顾性队列研究.
- VFMI诊断通过清醒灵活的鼻喉镜检查得到证实.
- 吸收风险通过使用透吸收量表 (PAS) 在即时,随访和最近的时间点通过修改的吞 (MBS) 评估.
主要成果:
- 在317名儿童中,有50名儿童 (15.7%) 发展出新的VFMI.
- 立即的MBS显示出高的愿望风险 (79%) 和无声的愿望 (68%).
- 随着时间的推移,吸收风险和沉默的吸收减少,但没有发现与VFMI恢复有一致的关系.
结论:
- 患有手术后VFMI的儿童经常经历沉默的愿望,表明基于症状的查的局限性.
- 建议对管理患有新的VFMI的儿童进行目标和串行愿望风险评估.
- 这些评估对于指导安全的口服养实践至关重要.
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