Rubin Adam D, Griffin Garrett R, Hogikyan Norman D, Feldman Eva L
Department of Otolaryngology, University of Michigan, Ann Arbor, MI 48109, USA.
Amyotroph Lateral Scler. 2012 Feb;13(2):229-32. doi: 10.3109/17482968.2011.643898.
The multidisciplinary approach to treatment of amyotrophic lateral sclerosis (ALS) has improved the overall care of patients suffering from this disease ( 1 , 2 ). This approach typically has included neurologists, physiatrists, occupational therapists, respiratory therapists and speech therapists. Dysphonia, dysarthria, and dysphagia are three of the most common bulbar manifestations of ALS, and are often the presenting symptoms in bulbar-onset patients. Despite this, otolaryngologists are often not included in ALS management until a tracheostomy is considered. The otolaryngologist can play an important role in early diagnosis and subsequent management of bulbar manifestations of ALS, and would be a valuable member of the multidisciplinary team.
多学科方法治疗肌萎缩侧索硬化症（ALS）改善了患有这种疾病患者的整体护理（1,2）。这种方法通常包括神经科医生、物理治疗师、职业治疗师、呼吸治疗师和言语治疗师。发音障碍、构音障碍和吞咽困难是ALS最常见的三种延髓表现，并且常常是延髓起病患者的首发症状。尽管如此，在考虑气管切开术之前，耳鼻喉科医生通常不参与ALS的管理。耳鼻喉科医生在ALS延髓表现的早期诊断和后续管理中可以发挥重要作用，并且会成为多学科团队的重要成员。
