针对差异化甲状腺癌的甲状腺切除术后的声乐结果
Maria Silvia Rosa1, Valeria Dell'Era1, Massimo Campagnoli2
1ENT Division, Health Science Department, School of Medicine, 28100 Novara, Italy.
Journal of clinical medicine
|January 8, 2025
概括
经验丰富的外科医生进行的甲状腺癌手术通常不会影响语音质量,以声学语音质量指数 (AVQI) 来衡量. 大多数患者经历了临时的声问题,这些问题在甲状腺切除术后的三个月内得到解决.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
背景情况:
- 甲状腺手术后,声音变化是一个常见的担忧,影响患者的生活质量.
- 声学语音质量指数 (AVQI) 用于客观评估语音质量.
- 差异化甲状腺癌 (DTC) 需要手术干预,这引发了关于声乐结果的问题.
研究的目的:
- 用AVQI来前性评估甲状腺切除术后的声乐结果.
- 为了确定差异化甲状腺癌 (DTC) 手术对语音质量的影响.
- 为了将术前和术后的AVQI得分与手术因素相关联.
主要方法:
- 74名接受甲状腺手术的DTC患者的前性观察性研究.
- 使用声学语音质量指数 (AVQI) 和Prat软件进行声学分析.
- 在手术前和手术后进行声内镜评估,并在多个时间点 (T1,T2,T3) 进行AVQI评分.
主要成果:
- 手术后6.76%的患者出现了声损伤,在3个月内完全康复.
- 很大一部分患者 (37) 呈现了手术前声 (AVQI>2.35),许多患者在手术后保持了这种情况.
- 根据性别,年龄或部中心剖析,AVQI平均得分没有发现显著差异.
结论:
- 当经验丰富的外科医生对DTC进行甲状腺手术时,不会显著影响长期的语音质量.
- AVQI得分显示,手术前后评估之间没有显著差异.
- 暂时的声问题很常见,但通常可以解决,表明甲状腺切除术后的良好功能结果.
相关概念视频
The Thyroid Gland
3.5K
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
3.5K
Larynx
1.2K
The human larynx, often referred to as the voice box, is an intricate organ located in the neck. It serves as a pathway for air to enter the lungs during respiration and is an essential component of voice production.
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
Anatomy of the Larynx
The larynx consists of various components, including cartilage, muscles, and vocal cords. Its structure includes three large unpaired cartilages—the thyroid, cricoid, and epiglottis—and three smaller paired cartilages—the arytenoids,...
1.2K
Synthesis and Regulation of Thyroid Hormones
4.2K
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
4.2K
Tracheostomy Decannulation
108
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
108
Tracheostomy: Procedure and Tubes
388
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
388
Functions of Thyroid Hormones
2.5K
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
2.5K


