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化品下部腺肉毒神经毒素A型注射后的消化不良:一个病例报告
1Department of Rehabilitation Medicine, Ewha Woman's University Seoul Hospital, Ewha Woman's University School of Medicine, 260 Gonghang-daero, Gangseo-gu, Seoul 07804, Republic of Korea.
Healthcare (Basel, Switzerland)
|January 28, 2026
概括
在下下腺中注射A型肉毒神经毒素的化品注射可能会导致严重的消化不良. 早期诊断和康复对于从这种罕见的并发症中恢复至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
背景情况:
- 下下腺注射A型肉毒神经毒素 (BoNT/A) 是常见的用于下线轮.
- 无意的毒素扩散可以导致喉肌肉损伤和失症.
- 严重的倾向于吸收的消化不良症是一种罕见但严重的并发症.
研究的目的:
- 在注射化品下部腺体后报告严重的口腔喉功能障碍病例.
- 为了突出BoNT/A注射在没有超声指导的情况下的潜在风险.
- 强调及时吞评估和康复的重要性.
主要方法:
- 一个37岁妇女的病例报告,注射后患有急性消化不良.
- 使用功能性口服摄入量表 (FOIS) 和饮食评估工具-10 (EAT-10) 进行评估.
- 视频光镜吞研究 (VFSS) 评估吞功能和吸收.
主要成果:
- 患者出现了严重的消化不良 (FOIS 3,EAT-10 24) 和渴望 (PAS 8).
- 在饮食修改和康复后,在五个月内观察到显著改善.
- 达到了完全解决食障碍和渴望 (FOIS 7, EAT-10 1).
结论:
- 在下下腺注射的化品incobotulinumtoxinA可以引起显著的口腔喉功能障碍.
- 在没有超声指导的情况下进行的手术可能会增加这种风险.
- 临床医生必须意识到这种并发症,并尽快提供吞评估和护理.
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