在与年龄相关的声音缩中,双边甲状腺整形术后声乐曲的定量评估
David J Cvancara1, Hans C Baertsch2, Julio A de Leon1
1Division of Laryngology Department of Otolaryngology - Head and Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
The Laryngoscope
|September 4, 2023
概括
在与年龄相关的声缩 (ARVA) 患者中,双边甲状腺整形改善了声关闭和语音质量. 手术减少了声的鞠躬和喉间隙,导致了更好的语音测量.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音科学 语言科学
- 老年学是一门学科.
背景情况:
- 与年龄相关的声缩 (ARVA) 导致声鞠躬,喉间隙和听力障碍.
- 双边介质化胸膜整形术是一种手术选择,可以增强ARVA患者的声关闭.
研究的目的:
- 量化双边胸膜整形术后声鞠躬,喉关闭和绑架角度的斯特罗博斯科普变化.
- 评估这些变化对ARVA患者语音质量的影响.
主要方法:
- 研究了15名接受双边甲状腺整形手术的ARVA患者.
- 喉镜检查用于测量鞠躬指数 (BI) 和正常化喉间隙面积 (NGGA).
- 使用共识性听觉感知声音评估 (CAPE-V) 和患者报告的手术前后结果来评估语音质量.
主要成果:
- 甲状腺整形术显著改善了CAPE-V得分 (平均差异-10,p<0.01).
- 手术后,NGGA和BI显著下降 (分别为p=0.05和p<0.01).
- 商业智能和综合NGGA/商业智能指标与CAPE-V评分有很强的相关性 (分别r=0.66和r=0.87).
结论:
- 双边甲状腺整形术有效地减少了ARVA患者的声鞠躬和喉间隙.
- 声形态的手术纠正可以改善客观和主观的语音测量.
- 对声变化的定量评估对于评估ARVA治疗反应是有价值的.
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