[生物反治疗在内分泌干预后患有失声症和良性喉病理的患者]
S G Romanenko1, O G Pavlikhin1, D I Kurbanova1
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Vestnik otorinolaringologii
|June 18, 2025
概括
生物反疗法有效地帮助在喉手术后患有高音调发音的患者恢复声音. 建议在干预后语音恢复不完全时,将声疗与生物反治疗结合起来.
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
- 康复医学 康复医学 康复医学
背景情况:
- 良性有机喉病理和功能性听力障碍会在内分泌干预后损害语音质量.
- 手术后不完全的语音恢复需要进一步的治疗策略.
- 病理性发音类型 (结节性,低压性,高压性) 影响语音恢复结果.
研究的目的:
- 为了提高声音恢复的有效性,在良性有机喉病理和功能性听力障碍患者内分泌干预后.
- 评估语音治疗和生物反治疗对特定病理语音类型的声音恢复的影响.
主要方法:
- 评估了360名为良性声病理进行手术的患者队列.
- 诊断工具包括视频喉科镜,视频声管镜,声学语音分析和主观声功能评估 (N. Yanagihara 尺度).
- 患有持续语音问题的患者接受了语音治疗 (第一组) 或语音治疗加生物反治疗 (第二组).
主要成果:
- 在58名患者中,由于结节性,低压性或高压性发音,手术后的声音没有恢复.
- 生物反疗法显著加速了高音调发音的患者的语音恢复.
- 生物反疗法在结节性或低压性发音中对语音恢复没有显著的益处.
结论:
- 需要采取额外的治疗措施,包括语音疗法和生物反疗法,对于经历内分泌干预后语音不完全恢复的患者.
- 生物反疗法是改善声音恢复的有价值的辅助在高音调发音后喉手术.
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