关节间沟注射喉成形术的疗效分析

IF 1 Q3 OTORHINOLARYNGOLOGY International Archives of Otorhinolaryngology Pub Date : 2023-10-06 DOI:10.1055/s-0043-1767800
Kelsey H. Mothersole, Seckin O. Ulualp, Romaine F. Johnson, Ashley F. Brown, Gopi B. Shah, Christopher C. Liu, Stephen R. Chorney
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引用次数: 0

摘要

摘要/ Abstract摘要:深杓间沟(Deep intertenoid groove, DIG)可能引起儿童吞咽功能障碍;然而,DIG的管理尚未建立。目的评价注射式关节间增强术治疗DIG患儿的主客观疗效。方法回顾性分析18岁以下连续行注射喉部成形术的患者。获得了有关人口统计学、既往病史、既往手术史以及术前和术后视频透视吞咽研究(VFSS)结果的数据。主要观察指标是术后VFSS是否有稀液吸入或渗透。次要结局指标是照护者报告的症状改善。结果27例患者在关节间注射增强术(IA)前后发生VFSS。IA前有稀液渗透20例(70%),吸稀液12例(44%)。9例(45%)患儿吸稀液消失,11例(55%)患儿持续吸稀液。在IA前有稀液吸出的12例患儿中,有6例(50%)在IA后稀液吸出消退。结论注射喉部成形术是改善DIG患儿吞咽功能的安全手段。需要进一步的研究来评估IA的长期结果,并确定DIG患儿IA成功的预测因素。
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Outcomes of Injection Laryngoplasty for Deep Interarytenoid Groove
Abstract Introduction Deep interarytenoid groove (DIG) may cause swallowing dysfunction in children; however, the management of DIG has not been established. Objective We evaluated the subjective and objective outcomes of interarytenoid augmentation with injection in children with DIG. Methods Consecutive children under 18 years of age who underwent injection laryngoplasty for DIG were reviewed. Data pertaining to demographics, past medical history, past surgical history, and results of pre and postoperative video fluoroscopic swallow study (VFSS) were obtained. The primary outcome measure was the presence of thin liquid aspiration or penetration on postoperative VFSS. The secondary outcome measure was caregiver-reported improvement of symptoms. Results Twenty-seven patients had VFSS before and after interarytenoid augmentation with injection (IA). Twenty (70%) had thin liquid penetration and 12 (44%) had thin liquid aspiration before the IA. Thin liquid aspiration resolved in 9 children (45%) and persisted in 11 (55%). Of the 12 children who had thin liquid aspiration prior to IA, 6 (50%) had resolution of thin liquid aspiration after IA. Conclusions Injection laryngoplasty is a safe tool to improve swallowing function in children with DIG. Further studies are needed to assess the long-term outcomes of IA and identify predictors of successful IA in children with DIG.
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CiteScore
2.80
自引率
0.00%
发文量
84
审稿时长
12 weeks
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