声微手术后两种语音休息协议的临床语音结果
Ruiqing Stephanie Fan1, Yin Yiu2, Paulina A Kulesz3
1Dept. of Communication Sciences and Disorders, University of Houston, Houston, Texas, U.S.A.
The Laryngoscope
|January 13, 2024
概括
这项研究发现,7天的完整语音休息 (CVR) 和3天的CVR与4天的相对语音休息 (CVR+RVR) 协议的结合导致手术后良性声病变患者的语音质量得到了可比改善.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语音语言病理学
- 声带手术 声带手术
背景情况:
- 声音休息是良性声病变 (BVFLs) 的常见术后建议.
- 音声微手术后最佳的语音休息时间和类型仍在争论中.
- 了解不同语音休息协议对语音结果的影响对于临床实践至关重要.
研究的目的:
- 为了比较7天的完整语音休息 (CVR) 协议与3天的CVR以及4天的相对语音休息 (CVR+RVR) 协议的临床语音结果.
- 为了评估客观和主观的语音参数在患者的BVFLs后语音微手术.
主要方法:
- 进行了一项前性随机对照试验.
- 患有BVFL的患者随机分为两个语音休息组:7天CVR (n=13) 和3天CVR+4天RVR (n=12).
- 使用声学,空气动力学和感知测量 (CAPE-V,VHI) 在手术前,1周和1个月的术后时间点评估结果.
主要成果:
- 两组都显示出从术前到术后1个月的子球压力和语音障碍指数 (VHI) 得分的统计学上显著改善.
- 在7天CVR和CVR+RVR组之间没有观察到声音结果的显著差异.
- 在手术后的两个组中,共识性听觉感知声音评估 (CAPE-V) 的整体严重性评级显著下降.
结论:
- 两种语音休息方案 (7天的CVR和3天的CVR+4天的RVR) 在声微手术后1个月导致语音质量的相似改善.
- 这些发现表明,对于BVFLs的术后语音休息建议有灵活性.
- 客观和主观的语音参数表明成功恢复,无论使用的特定语音休息方案如何.
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