山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (3): 65-.

• 论文 • 上一篇    下一篇

支撑喉镜手术并发味觉异常的临床分析

李德生 李红霞   

  1. 邹平县人民医院 1. 耳鼻喉科; 2. 手术室,  山东 邹平 256200
  • 收稿日期:2009-02-06 修回日期:2009-03-23 出版日期:2009-06-16 发布日期:2009-06-16
  • 作者简介:李德生,男,主治医师,主要从事耳鼻喉疾病的临床诊治研究。Email:lds6810@163.com

Postoperative parageusia following self-retaining laryngoscopic operations

 LI De-Sheng, LI Gong-Xia   

  1. 1. Department of Otolaryngology; 2. Operation Room, Zouping People's Hospital, Zouping 256200, Shandong, China
  • Received:2009-02-06 Revised:2009-03-23 Online:2009-06-16 Published:2009-06-16

摘要:

目的   探讨支撑喉镜手术并发味觉异常的原因和防治方法。方法  回顾近6年行支撑喉镜手术的112例的临床资料,分析术后并发味觉异常的5例的原因及处理方法。结果  支撑喉镜对舌体和舌根的压迫可能是术后发生味觉异常的主要原因。支撑喉镜手术后并发味觉异常者经临床治疗,不合并伸舌偏斜、舌体麻木的4例均于术后2周内恢复正常,合并伸舌偏斜的1例于术后5周恢复正常。结论  提高手术操作技巧,注意术中保护,避免过度损伤,可以减少味觉异常的发生,而一旦味觉异常,及时合理的治疗可以使味觉异常完全恢复而不留后遗症。

关键词: 支撑喉镜; 并发症; 味觉异常

Abstract:

Objective   To explore causes and prevention of parageusia under self-retaining laryngoscopic operations. Methods   112 cases of self-retaining laryngoscopy in the past  6 years were retrospectively reviewed. Causes, prevention and treatment of 5 cases were analyzed. Results  Compression of the corpora linguae and radices linguae by a self-retaining laryngoscope might be the main cause of post-operative parageusia, 4 cases of tongue numbness were cured within 2 weeks, and 1 case of tongue deviation recovered in 5 weeks after prompt treatments. Conclusion   Improvement of operative skills, careful protection during the operations and avoidance of unnecessary injuries may reduce postoperative parageusia. Once parageusia has occurred, prompt and rational treatments can reverse parageusia without consequences.

Key words: Self-retaining laryngoscope; Complication; Parageusia

中图分类号: 

  • R256
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