慢性单侧声麻中的语音结果:对干预方法的比较研究
Mónica Teixeira1, Isabel García-López1, Javier Gavilán1
1ENT Department, Hospital Universitario La Paz, Madrid, Spain.
概括
慢性单侧声麻 (UVFP) 的所有治疗方法都改善了语音质量,中介化胸膜整形 (MT) 显示了最初步的收益. 语音治疗 (VT),注射喉膜整形 (IL) 和MT的最终结果相似,强调对UVFP患者的个性化护理.
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
- 声乐曲线动力学 声乐曲线动力学
背景情况:
- 慢性单侧声麻 (UVFP) 的管理需要有效的语音质量评估.
- 干预措施包括语音治疗 (VT),注射喉膜整形 (IL) 和喉框架手术 (例如,媒介化胸膜整形[MT]).
研究的目的:
- 评估慢性UVFP不同治疗方法的客观和主观声乐结果.
- 为了比较孤立的VT,IL和MT (单独或组合) 的有效性.
主要方法:
- 对90名慢性UVFP患者 (2010-2024) 的回顾性分析.
- 患者组:孤立的VT (n=26),IL (n=16),IL+MT (n=12),MT (n=36). 患者组:孤立的VT (n=26),IL (n=16),IL+MT (n=12),MT (n=36). 患者组:隔离的VT (n=26),IL (n=16),IL+MT (n=12),MT (n=36).
- 声声评估包括VHI-10,GRBAS,MPT,以及在基线和治疗后的最大强度.
主要成果:
- 所有组都在VHI-10中显著改善,失声症严重程度和MPT显著改善.
- MT组在听力障碍严重程度和MPT方面最初有最大的改善.
- 在最终的VHI-10中没有统计学上显著的差异,失声症严重程度,MPT或最大强度在各组之间没有.
结论:
- 所有评估的干预措施都有效地改善了慢性UVFP患者的语音质量.
- 虽然MT显示了最大的初步收益,最终的结果在治疗中是相似的.
- 个性化治疗选择对于治疗慢性UVFP至关重要.
相关概念视频
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
91
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
91
Larynx
2.2K
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,...
2.2K
Cardiopulmonary Resuscitation II: ACLS Airway Management
112
Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
112
Mechanical Ventilation III: Noninvasive Ventilation
233
Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
Noninvasive Positive-Pressure Ventilation...
233
Suctioning the Oropharyngeal Airway
393
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
393


