通过使用高速内镜检查,在吸收器性 dystonia 的患者中,声振开放起始位置异常
Xinlin Xu1, Eyad Saleh2, Margaret Rose Lacke2
1Department of Voice Medicine, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Key Laboratory of Voice of Xiamen City, Xiamen, Fujian, China.
Journal of voice : official journal of the Voice Foundation
|September 20, 2023
概括
声振动发病位置 (VVOOP) 分析添加器喉 dystonia (ADLD) 显示大多数患者的异常和可变的VVOOP. 这一发现突显了ADLD患者声振动的不规则性.
科学领域:
- 喉腔病学是指喉科的医生.
- 语音和声音科学 语音和声音科学
- 神经学 神经学
背景情况:
- 诱导性喉 dystonia (ADLD) 是一种神经语音障碍,其特点是喉中的非自愿肌肉收缩.
- 了解声振动的生物力学对于诊断和管理ADLD至关重要.
- 声振动发起位置 (VVOOP) 是一个参数,可以提供关于喉功能的见解.
研究的目的:
- 在被诊断为添加器喉 dystonia (ADLD) 的患者中调查和分析声振动发作位置 (VVOOP).
- 为了比较ADLD患者和健康个体之间的VVOOP特征,以确定潜在的诊断标记.
- 评估VVOOP的变异性和异常性,作为ADLD声功能障碍的指标.
主要方法:
- 进行了一项病例控制研究,涉及11名ADLD患者和11名年龄和性别匹配的健康对照.
- 所有参与者都进行了喉高速视频内镜检查.
- 耳鼻喉科医生评估了声振开口发作位置 (VVOOP) 和其变异性,并使用多线视频化学图分析开放系数 (OQ) 和OQ标准偏差.
主要成果:
- 在90.9%的ADLD患者中观察到异常VVOOP,明显高于对照组 (P <0.05).
- 在54.6%的ADLD患者中发现了发生在多个位置或表现出显著变化的可变VVOOP,也明显高于对照组 (P < 0.05).
- 与对照组相比,ADLD组的开放系数 (OQ) 和其标准偏差在ADLD组显著更大 (P <0.05).
结论:
- 患有ADLD的患者的声振动的特征是不规则.
- 在ADLD患者中,VVOOP经常异常,并表现出可变的定位.
- 异常和可变的VVOOP可以作为添加器喉 dystonia 底层声振动变化的反映.
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