注射透明质酸治疗气管食管瘘。
Management of leaking tracheoesophageal puncture with hyaluronic acid injection.
机构信息
Department of Ear, Nose, and Throat Surgery, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, 4029, Australia.
Speech Pathology Department, Royal Brisbane and Women's Hospital, Herston, Brisbane, Queensland, 4029, Australia.
出版信息
Head Neck. 2018 Jul;40(7):1573-1576. doi: 10.1002/hed.25162. Epub 2018 Apr 6.
BACKGROUND
Tracheoesophageal puncture (TEP) with voice prosthesis is a widely used technique for voice restoration in laryngectomy and pharyngolaryngectomy patients. Complications include leakage around the prosthesis or a persistent TEP postremoval of the prosthesis.
METHODS
We describe a method for managing leakage around voice prosthesis or persistent TEP using hyaluronic acid injection. We also present a retrospective audit of our practice.
RESULTS
This study had 8 patients who were treated over a 32-month period. All cases had immediate cessation of salivary leak. Duration of efficacy was variable. Five of the 8 cases had permanent resolution of their symptoms after multiple injections. Two cases of persistent TEP were treated surgically after multiple injections. One patient with peripheral leakage continues to have regular injections.
CONCLUSION
Hyaluronic acid injection in the treatment of persistent TEP or peripheral leak around a voice prosthesis is a useful treatment option to provide immediate and occasionally long-lasting relief from symptoms.
背景
气管食管造瘘术（TEP）联合人工发声瓣膜是喉切除术和咽-喉切除术患者进行嗓音恢复的常用技术。该技术的并发症包括人工发声瓣膜周围漏液或人工发声瓣膜取出后持续的 TEP 瘘。
方法
我们描述了一种使用透明质酸注射治疗人工发声瓣膜周围漏液或持续 TEP 的方法。我们还对我们的治疗方法进行了回顾性审核。
结果
这项研究共纳入了 8 例患者，他们在 32 个月的时间内接受了治疗。所有患者的唾液漏均立即停止。疗效持续时间各不相同。8 例中有 5 例经过多次注射后症状永久缓解。2 例持续 TEP 患者在多次注射后进行了手术治疗。1 例周围漏患者仍需定期注射。
结论
透明质酸注射治疗持续 TEP 或人工发声瓣膜周围外周漏是一种有效的治疗选择，可以立即缓解症状，有时还能长期缓解症状。
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