Gillespie Amanda I, Helou Leah B, Ingle John W, Baldwin Maria, Rosen Clark A
Department of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Voice Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Department of Otolaryngology - Head and Neck Surgery, University of Pittsburgh Voice Center, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
J Voice. 2014 Jan;28(1):59-61. doi: 10.1016/j.jvoice.2013.08.007. Epub 2013 Sep 23.
Vagal nerve stimulators (VNS) are implanted to treat medically refractory epilepsy and depression. The VNS stimulates the vagus nerve in the left neck. Laryngeal side effects are common and include dysphagia, dysphonia, and dyspnea. The current case study represents a patient with severe dyspnea and dysphonia, persisting even with VNS deactivation. The case demonstrates the use of voice and respiratory retraining therapy for the treatment of VNS-induced dysphonia and dyspnea. It also highlights the importance of a multidisciplinary approach, including laryngology, neurology, and speech-language pathology, in the treatment of these challenging patients.
植入迷走神经刺激器（VNS）用于治疗药物难治性癫痫和抑郁症。VNS刺激左颈部的迷走神经。喉部副作用很常见，包括吞咽困难、发音障碍和呼吸困难。本病例研究展示了一名患有严重呼吸困难和发音障碍的患者，即使停用VNS后症状仍持续存在。该病例展示了语音和呼吸再训练疗法在治疗VNS引起的发音障碍和呼吸困难中的应用。它还强调了多学科方法的重要性，包括喉科学、神经病学和言语语言病理学，在治疗这些具有挑战性的患者中的作用。
