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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Early laryngeal inhalation injury and its correlation with late sequelae.
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Early laryngeal inhalation injury and its correlation with late sequelae.

机译：早期喉咙吸入损伤及其与后期后遗症的关系。

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OBJECTIVE: Inhalation injury can permanently alter normal laryngeal function. The aim of this study was to examine the early changes in voice, swallowing, and breathing in laryngeal inhalation injuries. STUDY DESIGN: This was a prospective analysis of nine patients with inhalation injuries at a tertiary care institution. METHODS: Laryngeal function of patients admitted for inhalation injury requiring intubation was documented using videostroboscopy and swallowing evaluation by the speech pathology service. Bronchoscopy was used to classify the degree of inhalation injury. Association among total body surface area, facial burns, severity of laryngotracheal injuries, and loss of function was attempted. RESULTS: All three patients with severe tracheal inhalation injury presented persistent hoarseness at 1-year follow up with abnormal videostroboscopy findings. No association was found between inhalation injury and total body surface area burned. None of the patients in this series presented permanent swallowing dysfunction. CONCLUSION: The otolaryngologist plays an important role in the initial and long-term management of inhalation injuries. Inhalation injuries should be managed in a multidisciplinary fashion. There may be a correlation between the degree of tracheal injury and laryngeal injury and hoarseness.
机译：目的：吸入损伤可永久改变正常的喉功能。这项研究的目的是检查喉咙吸入损伤中声音，吞咽和呼吸的早期变化。研究设计：这是对三级医疗机构中9例吸入损伤患者的前瞻性分析。方法：使用视频频闪仪和言语病理学服务人员的吞咽评估记录入院需要插管的吸入性损伤的患者的喉功能。支气管镜检查用于分类吸入损伤程度。试图将全身表面积，面部烧伤，喉气管损伤的严重程度以及功能丧失之间联系起来。结果：所有三例严重气管吸入性损伤的患者在1年随访中均表现出持续的声音嘶哑，并出现了异常的视频频闪检查结果。吸入损伤与全身燃烧面积之间没有关联。该系列患者均未出现永久性吞咽功能障碍。结论：耳鼻喉科医师在吸入性损伤的初期和长期处理中起着重要作用。吸入损伤应以多学科的方式进行管理。气管损伤程度与喉损伤程度和声音嘶哑之间可能存在相关性。

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