在甲状腺切除术后综合征中早期评估语音问题,使用头分析
Yeso Choi1, Bo Ram Keum1, Ju Eun Kim1
1Department of Otorhinolaryngology-Head and Neck Surgery, Dongtan Sacred Heart Hospital, Hallym University of Medicine, Hwaseong 18450, Republic of Korea.
甲状腺切除术后综合征会导致声音问题,即使没有神经损伤. 塞普斯特拉分析显示,在评估甲状腺手术后的声音变化和不适方面有希望.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 声学分析 声学分析
背景情况:
- 甲状腺切除术后综合征 (PTS) 呈现出声音问题,尽管没有复发的喉神经损伤.
- 了解PTS中主观和客观的声音变化对于患者管理至关重要.
研究的目的:
- 通过主观和客观的测量来研究PTS患者的声音变化.
- 评估语音疲劳指数 (VFI) 和 cepstral 分析在评估 PTS 相关语音功能障碍方面的有效性.
主要方法:
- 对96名经过甲状腺切除术而没有神经损伤的患者的回顾性分析.
- 术前和术后的语音评估,包括语音障碍指数 (VHI),VFI,听觉感知,声学 (骨架分析),空气动力学和喉振动分析.
- 专注于女性患者,分析VHI,VFI,塞普斯特拉峰突出度 (CPP) 和最大基本频率 (F0max) 的变化.
主要成果:
- 在女性中,VHI和VFI在甲状腺切除术后显著增加,相互相关.
- 塞普斯特拉分析显示,女性的母音和句子的CPP下降,与VHI和VFI相关.
- 观察到最大基本频率 (F0max) 的显著下降,与主观声音评估变化相关.
结论:
- VFI是PTS中主观语音评估的有效工具,与VHI相似.
- 脑膜分析,特别是CPP,显示了作为一个客观指数的潜力,反映了PTS中主观的声音不适.
- 这些发现表明,塞普斯特拉分析可能是全面PTS语音评估的宝贵组成部分.
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