声の衛生に関するアドバイスが,様々な大きさの出血性声帯ポリップの管理に有効である
1Unit of Phoniatrics, Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Journal of voice : official journal of the Voice Foundation
|August 29, 2025
まとめ
声の衛生に関するアドバイスと組み合わせた 声療法のような 保守的な声の治療は 小さい声帯のポリプに効果的です 声の衛生に関するアドバイスは 効果が少ないが 手術の成功率は最高です
科学分野:
- 耳鼻喉科
- スピーチ・ランゲージ・パスロジー
- 声帯病理学
背景:
- 声帯ポリプ (VF) は,しばしば声の誤用によって引き起こされる一般的な病変です.
- 血行性ポリープは血管性で 音声不全と声の疲労を伴う
- 手術は標準ですが,声の衛生に関する助言 (VHA) や声の治療 (VT) のような保守的な治療は,特に小さなポリップの場合,代替方法ですが,サイズに基づいてその有効性は不明です.
研究 の 目的:
- VHA,VHA+VTの有効性を評価し,出血性声帯のポリプに対する手術を行う.
- 保守的な治療の成功に対するポリプの大きさの影響を決定する.
- 声帯ポリプの患者における治療結果に関連する要因を特定する.
主な方法:
- 高等医療病院で35人の患者を観察した研究です.
- 収集されたデータには,人口統計,声の使用,症状,イメージング,治療結果が含まれています.
- 患者は,VHA単独,VHA+VT,または手術によってグループ化されました. 治療後のポリープのサイズ変化が主なアウトカムでした.
主要な成果:
- 全体の改善率は85.7%でした. 手術は100%成功し,VHA + VTは76. 9%改善し,VHA単独は66. 7%改善しました.
- 小型のポリープは保守的な治療 (VHAとVTなし) により良く反応した.
- 他の要因は,サンプルサイズが小さいため,有意ではなかった.
結論:
- 手術は声帯のポリプの最も効果的な治療法です.
- VHA + VTは,特に小さなポリプの場合,実行可能な保守的な選択肢です.
- VHAのみよりもVTとVHAを組み合わせることが推奨されているが,より大きな研究が必要である.
関連する概念動画
01:26Tonsillitis II: Management
174
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
174
01:23Chronic Pharyngitis
4.8K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
4.8K
01:30Epistaxis
255
Epistaxis, or nosebleeds, occurs when small, swollen blood vessels in the nasal mucous membrane rupture. Typically, the anterior septum is the primary site of occurrence.
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
Etiology
Possible causes of this condition include high blood pressure, trauma, low humidity, upper respiratory tract infections, allergies, foreign bodies, nasal inhalation of corticosteroids or illicit drugs, excessive use of decongestant nasal sprays, facial or nasal surgery, anatomic malformation, tumors, or systemic...
255
01:30Pneumonia V: Nursing management and Prevention
2.4K
Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
2.4K
01:21Larynx
2.1K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
2.1K
01:29Suctioning the Nasopharyngeal Airway
924
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
924