在平流体皮肤中声波:功能评估和影响因素分析
Wenying Zhu1,2, Haifeng Liang2, Jiawang Tian2
1From the Department of Otolaryngology-Head and Neck, Zhujiang Hospital of Southern Medical University, Guangzhou, China.
The Laryngoscope
|June 14, 2025
概括
盘膜片中的皮下脂肪厚度是喉切除术后声器片振动波 (PFVW) 形成的关键. 较厚的片可以改善语音质量,减少声和压力,从而改善患者的治疗结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 语言病理学 语音病理学
- 手术重建手术重建的方法
背景情况:
- 垂直部分喉切除术后的喉缺陷通常需要用皮肤片进行重建.
- 术后语音质量是接受这些手术的患者关心的关键问题.
- 声管振动波 (PFVW) 是影响语音结果的一个因素.
研究的目的:
- 为了分析PFVW的音声功能.
- 确定影响PFVW形成的因素,特别是平体皮层的组织结构.
- 为了增强手术后的声音质量,患者有修复的喉缺陷.
主要方法:
- 对单边喉喉癌或状细胞癌患者的回顾性分析.
- 在垂直部分喉切除术后,使用皮肤片修复喉缺陷.
- 在手术后3个月和6个月进行客观语音分析 (F0,动,闪通过MDVP) 和主观评估 (GRBAS尺度).
- 斯特罗博斯科普喉镜检查以评估喉运动和板振动.
主要成果:
- 3个月后患有PFVW的患者表现出明显更好的语音参数 (,闪,MPT) 和6个月后更低的GRBAS分数.
- 盘膜的皮下脂肪厚度被确定为PFVW发生的重要预测因素 (OR=7.835,p=0.003).
- 较厚的皮下脂肪与改善的语音质量结果相关.
结论:
- 盘膜的皮下脂肪厚度是PFVW形成的关键因素.
- 优化板厚度可能会在垂直部分喉切除和白膜板重建后改善语音质量.
- 这一发现有助于进行手术规划,以更好地恢复功能性语音.
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