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[当存在咽部阻塞时]

[When there is pharyngeal obstruction].

作者信息

Oppermann P

机构信息

HNO-Klinik Kantonsspital Luzern.

出版信息

Praxis (Bern 1994). 2004 Jan 14;93(3):60-4. doi: 10.1024/0369-8394.93.3.60.

Abstract

Any narrowing of the throat not only impairs the patient's voice, but also his swallowing abilities and even more dramatically his airways. Changes of the patient's voice due to tumors, trauma or functional disturbances do not immediately endanger the patient's live but render his vocal communication abilities more difficult or even impossible. Swallowing disturbances--often not diagnosed at an early stage--may lead to a life threatening pneumonia due to repeated aspirations. Laryngeal airway obstruction can be caused by functional disorders of the laryngopharyngeal musculature, by benign or malignant tumors, or may present as a consequence of surgery and/or irradiation. A variety of treatment options are available to restore the patient's voice, rehabilitate his swallowing and maintain the airway patency. Often times minor surgical interventions (e.g. phonosurgery) help to improve the patient's quality of life, even in a palliative situation.

摘要

咽喉部的任何狭窄不仅会损害患者的嗓音,还会影响其吞咽能力,甚至更严重地影响其气道。因肿瘤、创伤或功能紊乱导致的患者嗓音变化不会立即危及患者生命,但会使他的语音交流能力变得更加困难甚至无法进行。吞咽障碍——通常在早期未被诊断出来——可能会因反复误吸导致危及生命的肺炎。喉气道梗阻可能由喉咽肌功能紊乱、良性或恶性肿瘤引起,也可能是手术和/或放疗的结果。有多种治疗选择可用于恢复患者的嗓音、恢复其吞咽功能并保持气道通畅。通常,即使在姑息治疗的情况下,小型手术干预(如嗓音外科手术)也有助于改善患者的生活质量。

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