摘要
目的 探讨鼻咽癌放疗后咽鼓管闭锁的治疗方法.方法 回顾性分析分别于2014年4月和2015年10月就诊于上海市交通大学附属第一人民医院分院耳鼻咽喉科的2例因放疗后咽鼓管闭锁进行治疗的患者的临床资料.患者均为女性,年龄65岁、64岁,分别于6年和20年前因鼻咽癌行放射治疗,鼻内镜下分别见右侧和左侧咽鼓管咽口完全封闭.采用激光复通和放置锥形头塑料管的方法进行治疗,随访时间均超过1年.结果 治疗半年及1年后,2例患者的咽鼓管咽口均形成类圆形开口,自行捏鼻鼓气通畅,分别随访至20个月、12个月,咽鼓管咽口未见缩小,亦未发生咽鼓管异常开放.结论 激光复通后放置锥形头塑料管可用于治疗鼻咽癌放疗后咽鼓管闭锁病例.
Objective To investigate the method in treatment of Eustschian tube atresia caused by radiotherapy.Methods Two cases diagnosed of Eustschian tube atresia following radiotherapy were retrospectively analyzed in Department of Otorhinolaryngology,Divided Hospital of Shanghai University Communication Affiliated First People Hospital in Apr.2014 and Oct.2015.Both cases were female,65 and 64 years old,and accepted radiotherapy six and 20 years ago respectively.The pharyngeal orifices of Eustschian tube were found to be totally closed under endoscope.The closed Eustschian tubes were reopened by laser and re-shaped by a slim and conical plastic tube for more than six months.They were followed up and evaluated over 12 months.Resuits At six and 12 months after treatment,round mouths were formed in the pharyngeal orifice of Eustachian tube,and the patients had no resistance in Valsalva＇s test.No shrink or abnormal opening of orifice was found at follow-up of 20 and 12 months.Conclusion The method of re-opening by laser and re-shaping by a slim and conical plastic tube is recommended to treat Eustschian tube occlusion caused by radiotherapy.
出处
《中华耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2017年第7期531-533,共3页
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
基金
上海市卫生计划生育委员会科研立项资助项目（201640183）
关键词
咽鼓管
治疗
Eustachian tube
Treatment
