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在甲状腺手术中恢复高音调声音的Ansa Cervicalis外部分支解剖

Akira Miyauchi¹, Makoto Fujishima¹, Hiroo Masuoka¹

¹Department of Surgery, Kuma Hospital, Kobe, Japan.

The Laryngoscope

|March 7, 2024

概括

一种新的上喉神经 (EBSLN) 外分支部的宫前 (ansa cervicalis) 解剖 (AE解剖) 程序在恢复EBSLN损伤患者的高音调声音方面显示出希望. 这种简单的手术技术在没有不良事件的情况下实现了显著的语音提升,因此需要进一步研究.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
神经外科神经外科
声音科学声音科学

背景情况:

上喉神经外分支 (EBSLN) 的损伤可能导致低音和声音疲劳,特别影响女性患者.
目前对EBSLN引起的语音功能障碍的治疗选择有限.

研究的目的:

为了评估一项新的手术程序的疗效,子宫向EBSLN瘤形成 (A-E瘤形成),在恢复高音调的声音.
评估A-E解肠术的安全性和功能结果.

主要方法:

一组13名患者 (12名女性) 接受了单方面EBSLN切除和AE解剖.
使用Phonation Analyzer PA-1000进行了术前和术后的声功能评估.
为了进行比较,包括一个由20名接受EBSLN切除的患者组成的对照组和一个更大的正常对照组 (4494名女性,1025名男性).

主要成果:

经A-E解剖形成后,术后语音调显著降低 (673.9至471.5赫兹,p=0.047),在5个月内观察到语音恢复.
接受AE解剖的女性患者的平均语音音调为580.4赫兹,明显高于EBSLN切除 (522.8赫兹) 的女性患者,更接近对照组 (682.0赫兹).
73%的AE解剖患者实现了高音调 (超过对照组的平均-1SD),而EBSLN切除组的43%是如此. 没有报告任何不良事件.

结论:

宫前到EBSLN解剖 (A-E解剖) 是一种新的,简单的手术程序,可以在很大程度上恢复高音调的声音.
该程序显示了良好的安全性,没有观察到任何不良功能或美容事件.
由于EBSLN损伤导致的语音功能障碍的潜在治疗方法,A-E解剖形成需要进一步研究.

关键词:

在前子宫上 (ansa cervicalis).上喉神经的外部分支上喉神经的外部分支这是一个高音调的声音.神经的解剖是神经的解剖.发音发音发音发音发音

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