儿科喉再内核化的长期结果
Ari D Schuman1, Gianmarco A Calderara1, Aila Hanif2
1Department of Otolarygnology-Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.
The Laryngoscope
|August 7, 2024
概括
儿科非选择性喉再内脏化 (NSLR) 显示了长期稳定的语音生活质量和声学测量. 这项研究证实,经过NSLR手术的结果在手术多年后不会恶化.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科手术 儿科手术
- 语音科学 语言科学
背景情况:
- 儿科非选择性喉再内核化 (NSLR) 越来越多地用于声麻.
- 儿科NSLR后的长期结果以前没有被记录.
研究的目的:
- 为了评估儿科NSLR的长期疗效.
- 为了评估手术后几年与声音相关的生活质量和声学参数的变化.
主要方法:
- 一组接受NSLR的儿科患者在手术后一年以上被评估.
- 收集了儿科语音相关生活质量 (PVRQOL) 问卷和连接的语音音频录音.
- 结果与手术前和手术后早期 (<12个月) 的数据进行了比较,使用ANOVA和后期趋势分析.
主要成果:
- 12名患者完成了长期随访 (中位数为手术后6.8年).
- 儿科语音相关生活质量 (PVRQOL) 评分在早期和长期随访之间保持稳定 (p=0.3399).
- 声学测量,包括低到高的光谱比率,随着时间的推移显示出改善 (p-for-trend=0.0364),而Cepstral Peak Prominence (CPP) 和Cepstral Spectral Index of Dysphonia (CSID) 显示没有显著的退化.
结论:
- 儿科NSLR表明对语音生活质量有持久的积极影响.
- 与语音功能相关的关键声学参数在儿科NSLR治疗几年后不会降低.
- 这些发现支持NSLR在儿科患者的长期疗效.
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