喉切除术患者肺功能评估气管外装置的研制。

IF 2.2 3区医学 Q2 OTORHINOLARYNGOLOGY

European Archives of Oto-Rhino-Laryngology Pub Date : 2025-07-01 Epub Date: 2025-04-30 DOI:10.1007/s00405-025-09415-8

Carlos Eduardo Molinari Nardi, Mario Augusto Ferrari de Castro, Daniel A Ribeiro, Luiz Paulo Kowalski, Rogério Aparecido Dedivitis

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引用次数: 0

摘要

目的：由于肺量测定技术上的困难，喉切除术患者的肺功能评估具有挑战性。现有的方法有局限性，包括潜在的空气泄漏和患者不适。本研究的目的是开发一种简单，舒适的气管外装置，用于准确评估喉切除术患者的肺功能。方法：我们设计了一种硅胶气管外装置，该装置有一个中心接头用于呼吸计的连接，并有一层粘接剂用于安全的皮肤固定。10例喉切除术患者使用该装置进行肺活量测定。测量用力肺活量（FVC）、一秒用力呼气量（FEV1）和FEV1/FVC比值，并与预测值进行比较。结果：气管外装置在10例喉切除术患者肺量测定试验成功后得到验证，保持必要的空气密封以确保结果的准确性，无漏气。肺科医生对该设备进行了评估，发现它在技术上足以生成报告。结论：所开发的气管外装置已被证明是评估喉切除术患者肺功能的可靠和有效的工具，有可能成为这一人群定期肺功能监测的有价值的工具。

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Development of an extratracheal device for pulmonary function assessment in laryngectomized patients.

Purpose: Pulmonary function assessment in laryngectomized patients is challenging due to technical difficulties in performing spirometry. Existing methods have limitations, including potential air leakage and patient discomfort. The purpose of this study was to develop a simple, comfortable extratracheal device for accurate pulmonary function assessment in laryngectomized patients.

Methods: We designed a silicone extratracheal device with a central connector for spirometer attachment and an adhesive layer for secure skin fixation. Ten laryngectomized patients underwent spirometry using the device. Forced Vital Capacity (FVC), Forced Expiratory Volume in one second (FEV1), and FEV1/FVC ratio were measured and compared to predicted values.

Results: The extratracheal device was validated after performing successful spirometric tests in 10 laryngectomized patients, maintaining the necessary air seal to ensure the accuracy of the results, with no air leakage. Pulmonologists evaluating the device found it to be technically adequate for report generation.

Conclusion: The developed extratracheal device has proven to be reliable and effective for assessing pulmonary function in laryngectomized patients, potentially serving as a valuable tool for regular pulmonary function monitoring in this population.

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来源期刊

European Archives of Oto-Rhino-Laryngology 医学-耳鼻喉科学

CiteScore

5.30

自引率

7.70%

发文量

537

审稿时长

2-4 weeks

期刊介绍： Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.