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喉切除患者的嗅觉功能:气管食管食管言语。

Olfactory function in laryngectomised patients: tracheo-oesophageal oesophageal speech.

机构信息

Otolaryngology, Department of Health Science, University of Catanzaro, Italy.

Otolaryngology Unit, Cannizzaro Hospital, Catania, Italy.

出版信息

Acta Otorhinolaryngol Ital. 2023 Feb;43(1):20-25. doi: 10.14639/0392-100X-N2253.

DOI:10.14639/0392-100X-N2253
PMID:36860146
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9978304/
Abstract

OBJECTIVE

This study aimed to evaluate olfactory function in patients rehabilitated with oesophageal (ES) voice or tracheo-oesophageal (TES) prosthesis to further verify whether there were differences in smell alterations depending on voice rehabilitation modality.

METHODS

A total of 40 patients who had undergone total laryngectomy participated in the study. Speech rehabilitation was achieved through TES in 20 patients (Group A) or ES in 20 patients (Group B). Olfactory function was evaluated using the Sniffin' Sticks test.

RESULTS

At olfactory evaluation, in Group A, 4/20 patients (20%) were anosmic, whereas 16/20 patients (80%) were hyposmic; in Group B, 11/20 patients (55%) were anosmic whereas 9/20 patients (45%) were hyposmic. A significant difference (p = 0.04) was found at global objective evaluation.

CONCLUSIONS

The study shows that the rehabilitation with TES contributes to maintaining a functioning, albeit limited, sense of smell.

摘要

目的

本研究旨在评估食管(ES)发声或气管食管(TES)假体修复后的患者的嗅觉功能,以进一步验证嗅觉改变是否因嗓音康复方式的不同而存在差异。

方法

共有 40 名接受全喉切除术的患者参与了这项研究。20 名患者(A 组)通过 TES 进行言语康复,20 名患者(B 组)通过 ES 进行言语康复。使用嗅觉测试棒评估嗅觉功能。

结果

在嗅觉评估中,A 组有 4/20 名患者(20%)为失嗅,16/20 名患者(80%)为嗅觉减退;B 组有 11/20 名患者(55%)为失嗅,9/20 名患者(45%)为嗅觉减退。在全球客观评估中发现了显著差异(p = 0.04)。

结论

本研究表明,TES 康复有助于维持功能有限的嗅觉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c893/9978304/a90a8742f94a/aoi-2023-01-20-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c893/9978304/0f59c34e125d/aoi-2023-01-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c893/9978304/a90a8742f94a/aoi-2023-01-20-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c893/9978304/0f59c34e125d/aoi-2023-01-20-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c893/9978304/a90a8742f94a/aoi-2023-01-20-g002.jpg

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A simple method for olfactory rehabilitation following total laryngectomy.全喉切除术后嗅觉康复的一种简单方法。
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