Endoscopy findings affect subjective smell rehabilitation in post-laryngectomy patients using the nasal airflow-inducing manoeuvre
Endoscopy findings affect subjective smell rehabilitation in post-laryngectomy patients using the nasal airflow-inducing manoeuvre
复制标题
内窥镜检查结果影响使用鼻气流诱导操作的喉切除术后患者的主观嗅觉康复
DOI：
10.1017/s0022215114001777
复制
发表时间：
2014
期刊：
影响因子：
--
通讯作者：
G. Saidabadi
中科院分区：
文献类型：
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作者：
B. Saedi;E. Razmpa;A. Nikjo;M. Ghalandarabadi;H. Ghadimi;G. Saidabadi
摘要目的：评估喉切除术后患者的特征，包括鼻内镜检查结果，这些特征影响术后主观嗅觉改善。研究方法：30例接受全喉切除术的患者在语言病理学家的监督下，参加了至少三次嗅觉康复计划，包括鼻气流诱导操作。对患者特征和鼻内窥镜检查结果进行评价。结果如下：参与者的嗅觉平均改善了61%（p < 0.001），食欲显著改善（p = 0.002）。男性患者和有鼻分泌物的患者的结局明显更好。结论：鼻气流诱导法是改善喉切除术患者嗅觉和食欲的有效方法。在我们的病例系列中，鼻内窥镜检查结果与鼻气流诱导操作康复计划的结果之间没有关系。
Abstract Objective: To evaluate the characteristics of post-laryngectomy patients, including nasal endoscopy findings, that affect subjective smell improvement in the post-surgical period. Methods: Thirty patients who had undergone total laryngectomy participated in at least three sessions of a smell rehabilitation programme involving the nasal airflow-inducing manoeuvre, under the supervision of a speech-language pathologist. Patient characteristics and nasal endoscopy findings were evaluated. Results: Participants experienced a mean improvement in sense of smell of 61 per cent (p < 0.001) and a significant improvement in appetite (p = 0.002). Male patients and patients with a nasal discharge had a significantly better outcome. Conclusion: The nasal airflow-inducing manoeuvre is an effective method for improving smell perception and appetite in laryngectomy patients. There was no relationship between nasal endoscopy findings and outcome of the nasal airflow-inducing manoeuvre rehabilitation programme in our case series.