开放部分水平喉切除术后的语音质量与带有语音假体的全喉切除术:一项比较研究
Cecilia Botti1,2, Cecilia Lotto1, Paolo Tesauro3
1Department of Otolaryngology - Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
概括
与开放的部分水平喉切除术 (OPHL) 相比,用语音假体进行全喉切除术 (TL) 可能提供略有更好的语音质量. 这两种手术方法在声学分析和I-SECEL分数中显示了可比的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音和语言病理学 语言病理学
- 瘤外科手术 瘤外科手术
背景情况:
- 喉癌的治疗往往需要进行手术.
- 语音保护和恢复是喉切除术后康复的关键方面.
- 对比不同的外科手术技术对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较开放部分水平喉切除术 (OPHL) 和全喉切除术 (TL) 与语音假体之间的语音结果.
- 为了评估语音修复中语音假体TL的有效性.
主要方法:
- 追溯的单心研究.
- 在2022年7月至2023年6月期间,注册接受OPHL或TL的患者用语音假肢.
- 使用声学分析 (F0,HNR,NHR),最大发音时间,I-SECEL和INFV0尺度评估语音结果.
主要成果:
- 这项研究包括43名患者.
- 用语音假体接受TL的患者在INFV0尺度上表现出优越的语音质量 (V0).
- 两组的I-SECEL分数和声学分析结果在两组之间是可比的.
结论:
- 在接受全喉切除术并使用语音假体的患者中,语音质量可能略有改善,而不是在接受开放部分水平喉切除术的患者中.
- 进一步的研究可能会探索长期的语音结果和患者报告的满意度.
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