环咽肌A型肉毒毒素注射治疗桥小脑角胆脂瘤后吞咽障碍1例

樊留博; 韩文胜; 张露丁; 罗咪咪

doi:10.16766/j.cnki.issn.1674-4152.002708

环咽肌A型肉毒毒素注射治疗桥小脑角胆脂瘤后吞咽障碍1例

doi: 10.16766/j.cnki.issn.1674-4152.002708

1.
绍兴文理学院浙江省台州医院康复医学科，浙江台州 317000
2.
绍兴文理学院浙江省台州医院超声科

基金项目:

浙江省自然科学基金项目 LSY19H170001

浙江省医药卫生科技计划项目 2017KY707

温州医科大学高等教育教学改革项目 YBJG2019084

详细信息

通讯作者:
韩文胜, E-mail: hanws@enzemed.com

中图分类号: R739.4
计量
- 文章访问数: 175
- HTML全文浏览量: 68
- PDF下载量: 10
- 被引次数: 0
出版历程
- 收稿日期: 2021-02-25
- 网络出版日期: 2022-11-30

Treatment of dysphagia after cholesteatoma of cerebellopontine angle by injection of botulinum toxin type A in circumpharyngeal muscle: A case report

1.
Department of Rehabilitation of Medical, Taizhou Hospital of Zhejiang Province, Shaoxing University, Taizhou, Zhejiang 317000, China

摘要

摘要: 胆脂瘤又称珍珠瘤或表皮样囊肿，病变部位多在脑部和耳部，可以引起颅内胆脂瘤、外耳道胆脂瘤等病变。本病临床较少见，累及环咽肌的病例更少见。本病例是本地区首次发现桥小脑角胆脂瘤累及环咽肌，导致环咽肌失迟缓而出现严重的吞咽功能障碍。笔者首次采取导管球囊联合超声引导下A型肉毒毒素注射治疗桥小脑角胆脂瘤环咽肌失迟缓症，与以往的CT、肌电图定位等措施相比，具有无辐射、创伤微小、精准定位等优势，为吞咽障碍精准治疗技术方案的研究提供了重要的参考依据。
- 桥小脑角胆脂瘤 /
- 肉毒毒素 /
- 超声引导 /
- 导管球囊定位 /
- 吞咽障碍
Abstract: Cholesteatoma is called pearl tumor or epidermoid cyst, pathological place is in brain and ear more, can cause the pathological changes such as cholesteatoma of intracranial cholesteatoma, external auditory canal cholesteatoma. This disease is rare in clinical practice, involving the ring pharyngeal muscle cases are rarer. This case was the first time that cholesteatoma of cerebellopontine angle had been found to involve the cricopharyngeal muscle, resulting in the cricopharyngeal muscle dysplasia and severe swallowing dysfunction. In this case, for the first time, we adopt catheter balloon joint ultrasound guided botulinum toxin injections cerebellopontine angle cholesteatoma ring slow pharynx muscle loss, with past measures such as CT, electromyography positioning compared with no radiation, the advantages of the trauma of tiny, precise positioning, in the technical scheme for swallowing disorder accurate treatment research provided important reference basis.
- Cholesteatoma of cerebellopontine angle /
- Botulinum toxin /
- Guided by ultrasound /
- Catheter balloon positioning /
- Dysphagia

HTML全文

图 1 治疗前吞咽造影

注：A为治疗前进食1号食物造影所见；B为治疗前进食2号食物造影所见。

Figure 1. Swallowing imaging before treatment

下载: 全尺寸图片幻灯片

图 2 球囊定位环咽肌超声表现及肉毒毒素注射环咽肌治疗过程

注：A为纵切面可见球囊及上段环咽肌；B为横切所见，球囊、甲状腺、颈动脉、气管、环咽肌；C为纵切所见，A型肉毒毒素药物弥散进环咽肌；D为横切所见，A型肉毒毒素药物弥散进环咽肌。

Figure 2. Ultrasound manifestations of balloon localization of cricopharyngeal muscle and treatment process of botulinum toxin injection into cricopharyngeal muscle

下载: 全尺寸图片幻灯片

图 3 治疗7 d后吞咽造影

注：A为治疗后进食1号食物造影所见；B为治疗后进食2号食物造影所见。

Figure 3. Swallowing imaging after 7 days of treatment

下载: 全尺寸图片幻灯片

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