喉咽癌患者 J 瓣重建后言语和吞咽功能的长期评估

IF 2.9 3区 医学 Q1 OTORHINOLARYNGOLOGY
Yi-An Lu, Chung-Kan Tsao, Li-Jen Hsin, Hsiu-Feng Chuang, Tuan-Jen Fang
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引用次数: 0

摘要

背景:一种新型的 J 形大腿前外侧(ALT)皮瓣重建技术已被开发出来,可同时恢复喉咽全切除术后患者的吞咽和语言功能。本研究旨在评估接受J形皮瓣重建术患者的疗效和手术并发症:方法:研究对象为接受 J 型 ALT 皮瓣发音管重建术的患者。结果:36 名患者中有 13 人接受了 J 形 ALT 皮瓣咽鼓管重建术:36名患者中,13人接受了咽壁环周切除术(环周缺损组,CD组),23人接受了部分切除术(部分缺损组,PD组)。12 个月后,97% 的患者恢复了口腔进食,无需依赖鼻胃管(NG 管),50% 的患者使用重建的发音管实现了流利的语言表达。CD 组的延迟愈合率较高(30.77% 对 0%,P=0.005)。PD组在3个月和12个月期间进食固体食物的比例明显高于CD组(分别为81.0%对23.1%和78.9%对40%):本研究探讨了J-瓣声门导管重建术后语言和吞咽功能随时间的变化情况。无论缺损是环形还是部分缺损,使用J形ALT瓣声门导管都能有效恢复言语和吞咽功能,并带来持久的益处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Long-term Assessment of Speech and Swallowing Function in Laryngopharyngeal Cancer Patients After J-Flap Reconstruction.

Background: A novel J-shaped anterolateral thigh (ALT) flap reconstruction technique had been developed to simultaneously restore swallowing and speech functions in patients following total laryngopharyngectomy. This study aimed to assess the outcomes and surgical complications in patients who underwent J-flap reconstruction over time.

Methods: Patients who underwent J-shaped ALT flap phonatory tube reconstruction were enrolled. Surgical morbidities and outcomes were evaluated every 3 months postsurgery for 12 months or death.

Results: Of the 36 patients, 13 underwent circumferential pharyngeal wall resection (circumferential defect group, CD group), and 23 underwent partial resection (partial defect group, PD group). After 12 months, 97% of the patients resumed oral intake without reliance on a nasogastric tube (NG tube), and 50% achieved fluent speech using the reconstructed phonatory tube. The CD group showed a higher rate of delayed healing (30.77% vs. 0%, p=0.005). The PD group exhibited significantly greater percentages of individuals consuming solid food at both the 3- and 12-month intervals than the CD group (81.0% vs. 23.1% and 78.9% vs. 40%, respectively).

Conclusion: : This study examined the evolution of speech and swallowing functions over time following J-flap voice tube reconstruction. Regardless of whether the defect was circumferential or partial, using a J-shaped ALT flap phonatory tube effectively restored both speech and swallowing functions, offering long-lasting benefits.

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来源期刊
CiteScore
4.90
自引率
6.70%
发文量
49
审稿时长
6-12 weeks
期刊介绍: Clinical and Experimental Otorhinolaryngology (Clin Exp Otorhinolaryngol, CEO) is an international peer-reviewed journal on recent developments in diagnosis and treatment of otorhinolaryngology-head and neck surgery and dedicated to the advancement of patient care in ear, nose, throat, head, and neck disorders. This journal publishes original articles relating to both clinical and basic researches, reviews, and clinical trials, encompassing the whole topics of otorhinolaryngology-head and neck surgery. CEO was first issued in 2008 and this journal is published in English four times (the last day of February, May, August, and November) per year by the Korean Society of Otorhinolaryngology-Head and Neck Surgery. The Journal aims at publishing evidence-based, scientifically written articles from different disciplines of otorhinolaryngology field. The readership contains clinical/basic research into current practice in otorhinolaryngology, audiology, speech pathology, head and neck oncology, plastic and reconstructive surgery. The readers are otolaryngologists, head and neck surgeons and oncologists, audiologists, and speech pathologists.
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