在内分泌喉微手术后的语音治疗是否有助于治疗声多?
Gökhan Toptas1, Emel Çadallı Tatar2, Kemal Keseroğlu2
1Department of Otorhinolaryngology Head and Neck Surgery, Ankara Etlik City Hospital, Ankara, Turkey.
概括
语音疗法 (VT) 在手术后显著提高了声多患者的恢复. 将声外科与静脉治疗结合起来,可以比单独的手术更好地改善语音质量和功能.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语音语言病理学 语言病理学
- 职业健康 职业健康 职业健康
背景情况:
- 声多是一种良性生长,影响语音质量.
- 手术干预 (声外科手术) 是主要的治疗方法.
- 辅助语音治疗 (VT) 的作用需要进一步阐明.
研究的目的:
- 评估声多手术后语音治疗 (VT) 对声多的额外好处.
- 为了比较单独的声外科手术和声外科手术与静脉治疗之间的结果.
主要方法:
- 一项前性随机研究比较了两个组:仅进行声外科手术与声外科手术+静脉治疗.
- 治疗前后的评估包括视频喉镜,语音障碍指数-10 (VHI-10),以及声学/空气动力学语音分析.
- 关键参数:基本频率 (F0),动,闪,S/Z比率和最大发声时间 (MPT).
主要成果:
- 两组治疗都在VHI-10和GRBAS得分上显著改善.
- 在这两组中,最大发音时间 (MPT) 都显著增加,在VT组的改善更大.
- 声学分析显示,与单独手术相比,VT组的动和闪显著改善.
结论:
- 语音疗法 (VT) 在手术后对声多的管理有显著的贡献.
- 将声外科与静脉治疗结合起来,可以获得更好的功能和声学语音效果.
- 静脉治疗是手术治疗声多的宝贵补充.
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