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[鼻咽癌放疗后激光联合锥形硅胶管治疗咽鼓管闭锁的疗效]

[The treatment effect of eustachian tube atresia with laser and connical plastic tube after radiotherapy for nasopharyngeal carcinoma].

作者信息

Gao H G, Tong J, Chen W W

机构信息

Department of Otorhinolaryngology, Divided Hospital of Shanghai University Communication Affiliated First People Hospital, Shanghai 200081, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Jul 7;52(7):531-533. doi: 10.3760/cma.j.issn.1673-0860.2017.07.010.

Abstract

To investigate the method in treatment of Eustschian tube atresia caused by radiotherapy. Two cases diagnosed of Eustschian tube atresia following radiotherapy were retrospectively analyzed in Department of Otorhinolaryngology, Divided Hospital of Shanghai University Communication Affiliated First People Hospital in Apr. 2014 and Oct. 2015. Both cases were female, 65 and 64 years old, and accepted radiotherapy six and 20 years ago respectively. The pharyngeal orifices of Eustschian tube were found to be totally closed under endoscope. The closed Eustschian tubes were re-opened by laser and re-shaped by a slim and conical plastic tube for more than six months. They were followed up and evaluated over 12 months. At six and 12 months after treatment, round mouths were formed in the pharyngeal orifice of Eustachian tube, and the patients had no resistance in Valsalva's test. No shrink or abnormal opening of orifice was found at follow-up of 20 and 12 months. The method of re-opening by laser and re-shaping by a slim and conical plastic tube is recommended to treat Eustschian tube occlusion caused by radiotherapy.

摘要

探讨放疗所致咽鼓管闭锁的治疗方法。回顾性分析上海大学附属第一人民医院分院耳鼻咽喉科于2014年4月和2015年10月收治的2例放疗后诊断为咽鼓管闭锁的患者。2例均为女性,年龄分别为65岁和64岁,分别于6年前和20年前接受放疗。在内窥镜下发现咽鼓管咽口完全封闭。采用激光将闭锁的咽鼓管重新开放,并用纤细的锥形塑料管塑形超过6个月。对患者进行了12个月以上的随访和评估。治疗后6个月和12个月时,咽鼓管咽口形成圆形开口,患者瓦尔萨尔瓦试验无阻力。随访20个月和12个月时,未发现开口缩小或异常开放。推荐采用激光再通并使用纤细的锥形塑料管塑形的方法治疗放疗所致的咽鼓管阻塞。

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