Voice estimation in patients after reconstructive subtotal laryngectomy.

Bożena Wiskirska-Woźnica, Małgorzata Leszczyńska, Swidziński, Hanna Czerniejewska, Joanna Jackowska, Szyfter Witold
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引用次数: 11

Abstract

Background: Treatment of laryngeal cancers, may include surgery, radiotherapy, chemotherapy, or a combination. Total laryngectomy (TL) has been the standard surgical treatment. Partial laryngectomy procedures were performed, their advantage over TL is preservation of laryngeal functions.

Methods: The investigation was carried out on a group of 20 patients (3 female and 17 male), who underwent surgery according the techniques mentioned above. The methods of investigation were based on perceptual voice estimation (GRBAS), videolaryngostroboscopy, acoustic voice analysis, aerodynamic measure maximum phonation time, voice self-assessment (VHI).

Results and conclusions: The perceptual voice estimation revealed a good phonation result in only 3 cases after using surgery with the Calearo method as well as the best results of MPT. The VHI reflected severe voice handicap in 2 patients (26 to 40 points). No statistically significant differences were observed between the values of the acoustic parameters in MDVP analysis after following operation -CHEP, Calearo, Sedlacek.

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重建性喉次全切除术后的声音评估。
背景:喉癌的治疗包括手术、放疗、化疗或综合治疗。全喉切除术(TL)一直是标准的手术治疗。进行部分喉切除术,其优点是保留喉功能。方法:选取20例患者,其中女3例,男17例,均按上述方法行手术治疗。调查方法基于感知语音估计(GRBAS)、视频喉频闪、声学语音分析、气动测量最大发声时间、语音自我评估(VHI)。结果与结论:Calearo法术后仅有3例患者的感知语音估计显示出良好的发声效果,其中MPT法效果最好。VHI反映严重的语音障碍2例(26 ~ 40分)。chep、Calearo、Sedlacek术后MDVP分析声学参数值差异无统计学意义。
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