喉显微手术前后声带息肉的大小、部位、类型与音质的关系

S. Kadah, Yossra Sallam, Bothina Mohamed, Hend Zakzouk
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引用次数: 0

摘要

声带息肉对语音质量有不良影响。这些影响因其部位、大小和组织病理类型而异。本研究对30例单侧声带息肉患者进行观察性前瞻性研究。术前、术后3周、6周分别对患者的声音质量进行感知和声学分析。根据息肉大小(小≤3mm,大> 3mm)、部位(前部和中部)和组织病理类型(纤维性、水肿性和血管性)对声音分析结果进行研究。结果结果显示,大前血管息肉术前(P=0.023、0.008、0.034)、术后j -per、Sh-per、HNR及大前水肿息肉术后(P=0.002、0.004、0.025)均有显著差异。在第二次随访中,水肿性和血管前大息肉患者的发音障碍等级明显高于纤维性大息肉患者(P=0.027)。讨论/结论术前小息肉不论其位置和组织病理类型对语音质量的影响最小。前大水肿性息肉对语音质量影响最严重,术后语音质量改善最显著。
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The correlation between the size, site, and type of vocal fold polyp and voice quality, before and after laryngeal microsurgery
Introduction Vocal fold polyps have detrimental effects on voice quality. These effects vary according to their site, size, and histopathological type. Patients and methods This observational prospective study was performed on 30 patients with unilateral vocal fold polyp. Their voice quality was analyzed perceptually and acoustically preoperatively and 3 and 6 weeks postoperatively. Results of voice analysis were studied against polyp size (small ≤3 mm and large >3 mm), site (anterior and middle), and histopathological type (fibrous, edematous, and vascular). Results Results showed that Jt-per, Sh-per, and HNR were significantly affected in large anterior vascular polyps both preoperatively (P=0.023, 0.008, and 0.034, respectively) and postoperatively, together with large anterior edematous polyps (P=0.002, 0.004, and 0.025, respectively). In addition, grade of dysphonia showed significant improvement in second follow-up in edematous and vascular anterior large polyps than fibrous ones (P=0.027). Discussion/conclusion Small polyps have the least effect on voice quality regardless of its site and histopathological type preoperatively. Large anterior edematous polyps have the worst effect on voice quality with subsequently most significant improvement postoperatively.
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