用不同的语音恢复方法对全喉切除术患者的嗅觉功能进行比较
Rıdvan Başaran1, Fatma Esen Aydınlı1, Önal İncebay1
1Department of Speech and Language Therapy, University of Hacettepe, Ankara, Turkey.
Logopedics, phoniatrics, vocology
|October 17, 2025
概括
整体喉切除术患者经常经历嗅觉丧失. oesophageal 语音使用者比tracheoesophageal 语音或电喉使用者表现出更好的嗅觉功能,这表明对气味保存有好处.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
背景情况:
- 全喉切除术显著影响生活质量,包括嗅觉功能.
- 语音恢复方法对于喉切除术后的沟通至关重要.
- 嗅觉功能障碍是喉切除术的常见但经常被忽视的后果.
研究的目的:
- 在全喉切除术后的不同语音恢复方法中比较嗅觉功能.
- 为了确定任何特定的语音康复技术是否能够保持嗅觉能力.
- 评估喉切除术对嗅觉的影响,与语音方法相关.
主要方法:
- 横截面研究比较了30名喉切除患者 (食道发言,气管食道发言,电喉) 与10名对照者.
- 嗅觉功能使用嗅探棒扩展测试进行评估.
- 使用 EORTC QLQ-H&N-35 问卷评估的生活质量.
主要成果:
- 所有喉切除的患者都表现出嗅觉障碍 (73.3%的厌氧,26.7%的缺氧).
- oesophageal 语音使用者比 tracheoesophageal 语音 (平均 8.4) 和电喉 (平均 10.1) 用户有显著更高的 Sniffin 棒得分 (平均 21.6).
- 对照组的平均得分为38.2.2.
结论:
- 与其他方法相比, oesophageal speech 在喉腔切除术后显示了嗅觉功能的优越保存.
- 这一发现突显了食道语音作为一种潜在的有利的康复技术,以保持嗅觉能力.
- 需要进一步临床考虑食道语言的嗅觉保存.
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