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首页> 外文期刊>ORL: Journal for oto-rhino-laryngology and its borderlands >Cymetra injections to treat leakage around a tracheoesophageal puncture.
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Cymetra injections to treat leakage around a tracheoesophageal puncture.

机译：进行Cymetra注射治疗气管食管穿刺周围的渗漏。

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摘要

Tracheoesophageal puncture (TEP) is a commonly used method of voice restoration following total laryngectomy, but leakage around the prosthesis is prevalent. Several treatments for leakage have been proposed in the literature, but with varying success. This paper examines the efficacy of Cymetra to help shrink the TEP site and stop leakage. Six patients with leaking TEP sites refractory to downsizing and/or cautery were selected for the study. Injection sites were determined based on the primary sites of leakage. Cymetra was rehydrated with 1.0 % lidocaine saline solution and injected via a 23-gauge needle a few millimeters deep to the mucosa, approximately 2 mm from the edge. The patients were followed for up to 13 months. Following 1 trial of Cymetra injection, 4 patients achieved successful results. Only 1 patient has not yet achieved full resolution of leakage. Cymetra may provide a safer and more effective option for resolution of leakage than other methods currently employed.
机译：气管食管穿刺术（TEP）是全喉切除术后声音恢复的常用方法，但是假体周围的渗漏十分普遍。文献中已经提出了几种泄漏处理方法，但是取得了不同的成功。本文研究了Cymetra有助于缩小TEP部位并阻止渗漏的功效。选择了6例因尺寸缩小和/或烧灼难治的TEP部位漏出的患者。根据泄漏的主要部位确定注射部位。将Cymetra用1.0％的利多卡因盐水溶液重新水化，并通过23号针头将其注射到粘膜深几毫米处，距边缘约2 mm。对患者进行了长达13个月的随访。在进行1次Cymetra注射试验后，有4例患者获得了成功的结果。仅有1位患者尚未完全解决泄漏。与目前采用的其他方法相比，Cymetra可以为解决泄漏提供更安全，更有效的选择。

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