在患有单侧声麻的患者中,经过状腺附加手术后的长期语音评估
Kenichi Watanabe1,2, Ai Hirano3, Yuta Kobayashi3
1Department of Otolaryngology, Tohoku Rosai Hospital, 4-3-21 Dainohara, Aoba-ku, Sendai, Miyagi, 981-8563, Japan. kenw@orl.med.tohoku.ac.jp.
概括
状腺附加 (AA) 手术为单侧声麻 (UVFP) 提供了持久的声音改善. 长期结果显示稳定可靠的语音结果,证实AA是一种有效的治疗方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和声音科学 语音和声音科学
- 手术结果研究研究.
背景情况:
- 单侧声麻 (UVFP) 显著影响语音质量.
- 喉骨架手术,包括状腺引 (AA),旨在永久恢复声功能.
- 关于AA的有效性和稳定性的长期数据有限.
研究的目的:
- 为了评估阿里类添加 (AA) 手术的长期术后影响.
- 在UVFP患者中评估AA后语音改善的稳定性和可靠性.
- 分析可能影响AA结果的因素.
主要方法:
- 在77名接受AA的UVFP患者的语音障碍指数 (VHI) 评分的回顾性分析.
- 术前,术后早期 (3个月) 和术后晚期 (>2年) VHI评分的比较.
- 根据年龄,性别,UVFP原因,受影响的侧面和外科医生,分析VHI子尺度.
主要成果:
- 与手术前的VHI分数相比,在术后早期和晚期都观察到显著的语音障碍减少.
- 在38名具有完整数据的患者中,在早期和晚期的术后VHI得分之间没有发现显著差异 (中位数随访~5年).
- 小组分析显示,在各种影响因素中,长期稳定性是一致的.
结论:
- 状腺附加手术 (AA) 在患有单侧声麻 (UVFP) 的患者中导致稳定和显著的长期声音改善.
- 随着时间的推移,AA手术对语音质量的积极影响是持续的.
- AA是管理UVFP的可靠外科选择,提供持久的功能益处.
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