口腔治疗前后患者声音特征的喉频闪检查

M. Stoykov, G. Georgieva, M. Milkov
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摘要

现代医学的进步和在治疗过程中广泛采用新技术,要求保健专业人员了解科学为改善手术结果所提供的机会。在1866-1878年间,托普勒和奥特尔首次应用频闪效应来分解快速运动物体的运动。众所周知,由于视网膜和发声器官的特殊性,我们在发声时得到的图像是集体的。频闪效应是基于高频脉冲灯的使用,通过打断光源,每秒可以照亮声带的快速运动多达5次。因此,声带的实际发声振荡被延迟的,可观察的视觉感知所取代,具有真实运动的特性。当病人被要求唱歌时,声音的能量被转换成光。脉冲灯开始亮起,随着声带振荡的频率熄灭。频闪可评价的指标有:声带的运动频率、振荡幅度、运动过程等。喉频响镜用于评估发声能力,用于功能性发声障碍的诊断和鉴别诊断,以及与声带肌肉病理过程浸润相关的过程的诊断。近年来,高倍率喉频闪镜已被应用。它们允许更好的放大倍率和可见度,以及图像的视频记录。义肢底座是构建义肢结构的重要组成部分。它不仅为义肢提供了稳定性,而且还影响了言语功能。研究口腔修复中语音能力的科学问题的相关性和重要性是由于这样一个事实,近年来,牙科医学经历了许多变化,这些变化与制造假牙的技术和方法以及在此过程中使用的材料的发展有关。其目的是合成一种结构,一方面,它足够坚固,不会在咀嚼过程中断裂,另一方面,它足够薄,不会影响患者的语言功能。这意味着牙科专业人员需要发展他们的技能来使用新的和创新的技术。
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Laryngostroboscopic examination of voice characteristics in patients before and after dental treatment
The progress of modern medicine and the widespread introduction of new technologies in the treatment process requires health professionals to be informed about the opportunities offered by science to improve the results of procedures. For the first time Topler and Ortel, in the period 1866–1878, applied the strobo-scopic effect to decompose the motion of fast-moving objects. It is known that the image we get in phonation is collective due to the peculiarities of the retina and vocal apparatus. The stroboscopic effect is based on the use of a high-frequency pulse lamp, which allows the illumination of the rapid movements of the vocal cords up to 5 times per second, by interrupting the light source. Thus, the actual phonatory oscillations of the vocal folds are replaced by delayed, observable visual perceptions, possessing properties of the real movements. When the patient is asked to sing a vocal, the energy of the sound is converted into light. The pulse lamp starts to light up and goes out with the frequency of oscillation of the vocal cords. The strobo-scopic indicators that can be evaluated are: frequency of movement of the vocal cords, amplitude of oscillations, course of movement, etc. Laryngostroboscopy is used to assess vocal abilities for the diagnosis and differential diagnosis of functional dysphonia, and the diagnosis of processes associated with infiltration of a pathological process in the vocal muscle. In recent years, high-magnification laryngostroboscopes have been used. They allow better magnification and visibility, as well as video recording of the image. The prosthetic base is an important element in the construction of prosthetic structures. It not only provides stability to the prosthesis, but also affects the speech function. The relevance and importance of scientific issues for the study of voice capabilities in dental prosthetics are due to the fact that, in recent years, dental medicine has undergone a number of changes related to the evolution of technologies and methods for manufacturing dentures and materials that are used in the process. The aim is to synthesize a structure that, on the one hand, is strong enough not to fracture during mastication and thin enough not to affect the patient’s speech function. This means that dental professionals need to develop their skills to work with new and innovative technologies.
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