Abstract：
OBJECTIVE: Patients with laryngotracheal stenosis (LTS) often have dysphagia after laryngotracheal reconstruction with T-tube insertion, which affects the quality of life. The purpose of this study is to observe the effect of swallowing rehabilitation therapy on the improvement of quality of life in patients of otolaryngology-head and neck surgery with dysphagia undergoing T-tube implantation treatment through longitudinal study.
METHODS: Thirty-eight patients with LTS who experienced dysphagia after laryngotracheal reconstruction and T-tube implantation were recruited. All patients received swallowing rehabilitation therapy. The assessment of swallowing function was performed using the 10-item Eating Assessment Tool (EAT-10), the 30 mL water swallow test (WST), and flexible endoscopic evaluation of swallow (FEES).
RESULTS: After swallowing rehabilitation therapy, timing of swallowing, grade of dysphagia, performance on FEES and 30 mL WST, and EAT-10 score all improved. Thirty-eight patients successfully transitioned to oral feeding and were able to remove their nasogastric tubes without experiencing any complications, including aspiration pneumonia.
CONCLUSIONS: For patients with LTS who experienced dysphagia after laryngotracheal reconstruction and T-tube implantation, swallowing rehabilitation therapy could improve swallowing function of the patients, so as to reduce the potential harm caused by the pain and complications of surgery experienced by patients.
METHODS: Thirty-eight patients with LTS who experienced dysphagia after laryngotracheal reconstruction and T-tube implantation were recruited. All patients received swallowing rehabilitation therapy. The assessment of swallowing function was performed using the 10-item Eating Assessment Tool (EAT-10), the 30 mL water swallow test (WST), and flexible endoscopic evaluation of swallow (FEES).
RESULTS: After swallowing rehabilitation therapy, timing of swallowing, grade of dysphagia, performance on FEES and 30 mL WST, and EAT-10 score all improved. Thirty-eight patients successfully transitioned to oral feeding and were able to remove their nasogastric tubes without experiencing any complications, including aspiration pneumonia.
CONCLUSIONS: For patients with LTS who experienced dysphagia after laryngotracheal reconstruction and T-tube implantation, swallowing rehabilitation therapy could improve swallowing function of the patients, so as to reduce the potential harm caused by the pain and complications of surgery experienced by patients.
摘要：
目的：喉气管狭窄（LTS）的患者在插入T管的喉气管重建后通常会出现吞咽困难，影响生活质量。目的通过纵向研究观察吞咽康复治疗对耳鼻咽喉头颈外科合并吞咽困难行T管植入治疗患者生活质量的改善效果。
方法：招募了38例LTS患者，这些患者在喉气管重建和T管植入后出现吞咽困难。所有患者均接受吞咽康复治疗。使用10项饮食评估工具（EAT-10）进行吞咽功能评估，30毫升水吞咽试验（WST），和灵活的内镜下评估吞咽（FEES）。
结果：吞咽康复治疗后，吞咽的时机,吞咽困难的程度，在费用和30毫升WST上的性能，和EAT-10得分都提高了。38名患者成功过渡到口服喂养，并能够在没有任何并发症的情况下取出鼻胃管，包括吸入性肺炎.
结论：对于喉气管重建和T管植入后出现吞咽困难的LTS患者，吞咽康复治疗可以改善患者的吞咽功能，从而减少患者所经历的痛苦和手术并发症所造成的潜在危害。
方法：招募了38例LTS患者，这些患者在喉气管重建和T管植入后出现吞咽困难。所有患者均接受吞咽康复治疗。使用10项饮食评估工具（EAT-10）进行吞咽功能评估，30毫升水吞咽试验（WST），和灵活的内镜下评估吞咽（FEES）。
结果：吞咽康复治疗后，吞咽的时机,吞咽困难的程度，在费用和30毫升WST上的性能，和EAT-10得分都提高了。38名患者成功过渡到口服喂养，并能够在没有任何并发症的情况下取出鼻胃管，包括吸入性肺炎.
结论：对于喉气管重建和T管植入后出现吞咽困难的LTS患者，吞咽康复治疗可以改善患者的吞咽功能，从而减少患者所经历的痛苦和手术并发症所造成的潜在危害。
