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鼓室神经切除术和鼓索神经切除术用于控制流涎。

Tympanic neurectomy and chorda tympanectomy for the control of drooling.

作者信息

Parisier S C, Blitzer A, Binder W J, Friedman W F, Marovitz W F

出版信息

Arch Otolaryngol. 1978 May;104(5):273-7. doi: 10.1001/archotol.1978.00790050039009.

DOI:10.1001/archotol.1978.00790050039009
PMID:646722
Abstract

Seventeen patients suffered from drooling that either occurred as a sequelae of extensive head and neck cancer resections or was due to neurological disorders. In these patients, a tympanic neurectomy and/or chorda tympanectomy was performed in an attempt to eliminate the drooling. The conditions in five of 12 (41%) patients with head and neck cancer were improved following such surgery. Two of four children with cerebral palsy initially had a good result. However, the long-term follow-up of the patients demonstrated that the drooling recurred. An additional patient suffering from bulbar weakness and drooling owing to a cerevrobascular accident had less problems with salivary secretions. The results were relatively disappointing; there are several possible explanations for this.

摘要

17名患者存在流口水问题,这要么是广泛的头颈癌切除术后的后遗症,要么是由神经障碍引起的。在这些患者中,为了消除流口水,实施了鼓室神经切除术和/或鼓索神经切除术。12名头颈癌患者中有5名(41%)术后情况有所改善。4名脑瘫儿童中有2名最初效果良好。然而,对患者的长期随访表明流口水又复发了。另一名因脑血管意外导致延髓性肌无力和流口水的患者唾液分泌问题有所减轻。结果相对令人失望,对此有几种可能的解释。

相似文献

1
Tympanic neurectomy and chorda tympanectomy for the control of drooling.鼓室神经切除术和鼓索神经切除术用于控制流涎。
Arch Otolaryngol. 1978 May;104(5):273-7. doi: 10.1001/archotol.1978.00790050039009.
2
Evaluation of tympanic neurectomy and chorda tympanectomy surgery.鼓室神经切除术和鼓索神经切除术手术评估。
Otolaryngology. 1978 Mar-Apr;86(2):ORL308-21. doi: 10.1177/019459987808600224.
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Transtympanic neurectomy: a solution to drooling problems.
Dev Med Child Neurol. 1977 Aug;19(4):509-13. doi: 10.1111/j.1469-8749.1977.tb07945.x.
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Transtympanic neurectomies for control of drooling.经鼓膜神经切除术用于控制流涎。
Auris Nasus Larynx. 1984;11(2):109-14. doi: 10.1016/s0385-8146(84)80007-3.
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Tympanic neurectomy. Correction of drooling in cerebral palsy.
N Y State J Med. 1975 Nov;75(13):2419-22.
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Surgery of sialorrhoea.流涎症手术
J Laryngol Otol. 1985 Nov;99(11):1107-9. doi: 10.1017/s0022215100098261.
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Tympanic neurectomy and chorda tympani section.鼓室神经切除术及鼓索神经切断术。
Aust N Z J Surg. 1980 Aug;50(4):352-5. doi: 10.1111/j.1445-2197.1980.tb04138.x.
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Parasympathetic nerve section for control of sialorrhea.切断副交感神经以控制流涎。
Arch Otolaryngol. 1977 Feb;103(2):94-7. doi: 10.1001/archotol.1977.00780190074008.
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Long-term follow-up of tympanic neurectomy for sialorrhea.鼓室神经切除术治疗流涎症的长期随访
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Surgical management of drooling.流涎的外科治疗
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