听力障碍症的发声:使用数码耳听镜来评估吞中的听力学差异
Andrew Yousef1, Sacha Moufarrej2, David Zeng2
1Department of Otolaryngology-Head and Neck Surgery, University of California, San Diego, La Jolla, California, USA.
The Laryngoscope
|August 8, 2025
概括
数字耳语镜的听力测量数据可以识别吞功能障碍,为临床吞评估 (CSE) 提供了潜在的增强. 这种非侵入性方法揭示了吞声学中的显著差异,有助于检测吞障碍.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 语音语言病理学 语言病理学
背景情况:
- 临床吞评估 (CSE) 是主观的,诊断准确性有限.
- 通过客观的措施,可以改善食障碍的检测.
- 听力测量数据提供了一种潜在的非侵入性方法来评估吞功能.
研究的目的:
- 调查表面音频测量数据是否可以增强吞功能障碍的检测.
- 通过柔性内镜吞评估 (FEES) 和数字耳语镜检查正常和功能障碍的吞之间的听力学差异.
主要方法:
- 一个单一中心前性研究,涉及成年患者接受FEES治疗失消症.
- 在子上放置了一个数字耳语器,以便在吞时收集听力数据.
- 听力测量数据 (持续时间,振幅,频率) 被分析并与透-吸收量表 (PAS) 和耶鲁喉残留严重性评级量表 (YPS) 评分进行比较.
主要成果:
- 在正常和功能障碍的吞之间观察到吞持续时间,峰值幅度和中位数频率的显著差异.
- 患有较高PAS分数 (≥3) 的患者表现出更长的吞时间,更低的峰值幅度和更低的中位频率.
- 更高的YPS得分与更长的吞时间和更低的中位频率相关.
结论:
- 对吞声音的听力测量分析揭示了与吞障碍相关的显著声学差异.
- 这些发现表明,听力测量数据可以作为标准临床吞评估的宝贵补充.
- 基于数字耳语镜的声学分析为诊断失调症提供了一个有希望的,非侵入性的工具.
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