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[与声 (sulcus vocalis) 共存的声表皮囊的临床特征和疗效]

J Zhang¹, Q Q Han¹, J J Wang¹

¹Department of Otorhinolaryngology Head and Neck Surgery, Department of Voice Center, Shandong Provincial ENT Hospital, Shandong University, Jinan 250022, China.

Zhonghua er bi yan hou tou jing wai ke za zhi = Chinese journal of otorhinolaryngology head and neck surgery

|April 1, 2024

概括

喉微手术有效地用声皮质囊治疗声,显著改善语音质量和功能. 完整的囊切除和膜自身修复为患者带来了令人满意的长期结果.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
喉腔病理学喉腔病理学
微手术微手术是一种微手术.

背景情况:

声表皮囊可以与声共存,影响语音质量.
这些情况往往伴有声和粘膜波浪的减少.
术前视频喉科镜检查显示了特征性血管变化和粘膜异常.

研究的目的:

调查 vocal fold epidermoid cysts with sulcus vocalis 的喉微手术后的临床特征和语音结果.
评估微切除和粘膜桥梁修复技术的有效性.
为了比较术前和术后的语音参数.

主要方法:

对115名患有声表皮囊和声 (sulcus vocalis) 的患者进行了回顾性分析.
使用悬浮喉腔镜和显微镜进行手术干预.
囊和声的微切除,在特定情况下进行粘膜桥梁修复.
术前和术后的语音评估包括视频喉科镜,GRBAS,声学分析和语音障碍指数 (VHI).

主要成果:

手术后3个月和6个月观察到声音参数 (GRBAS,VHI-10,,闪,NHR,MPT) 的显著改善.
粘膜波和语音质量逐渐改善,并在6个月内稳定.
在115名患者中,有111名患者在随访期间 (长达3年) 显示声功能稳定,没有并发症.

结论:

破裂的声表皮囊是声和粘膜桥的原因.
术前视频喉腔镜对于诊断至关重要.
完整的囊切除和膜自身修复导致了令人满意的长期语音结果.

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