Dejonckere P H
Institute of Phoniatrics, University Medical Center Utrecht, AZU F.02,504, P.O. Box 85500, NI-3508 GA Utrecht, The Netherlands.
Rev Laryngol Otol Rhinol (Bord). 2000;121(5):307-10.
The proposal of this guideline or basic protocol is an attempt to reach better agreement and uniformity concerning the methodology for functional assessment of pathological voices. The purpose is to allow relevant comparisons with the literature when presenting/publishing the results of voice treatment, e.g. a phonosurgical technique, or a new/improved instrument or procedure for investigating the pathological voice. Meta-analyses of results of voice treatments are generally limited--and even impossible--due to the major diversity in assessing functional outcomes. A minimal, multidimensional set of basic measurements is proposed, suitable for all "common" dysphonias: it includes 5 different approaches: perception (grade, roughness, breathiness), videostroboscopy (closure, regularity, mucosal wave and symmetry), acoustics (jitter, shimmer, Fo-range and softest intensity), aerodynamics (phonation quotient), and self rating by the patient. The protocol is elaborated on the base of an exhaustive review of the literature, the experience of the Committee members, and of plenary discussions within the European Laryngological Society. Instrumentation is kept to a minimum, but considered essential for professionals performing phonosurgery.
本指南或基本方案的提议旨在就病理性嗓音功能评估方法达成更好的共识与统一。目的是在展示/发表嗓音治疗结果时，例如一种嗓音外科技术、一种用于研究病理性嗓音的新的/改进的仪器或程序，能够与文献进行相关比较。由于在评估功能结果方面存在重大差异，嗓音治疗结果的荟萃分析通常受到限制，甚至无法进行。本文提出了一套适用于所有“常见”发音障碍的最小化、多维度基本测量方法，包括5种不同的方法：感知（分级、粗糙度、气息声）、频闪喉镜检查（闭合、规律性、黏膜波和对称性）、声学（抖动、闪烁、基频范围和最柔和强度）、空气动力学（发声商）以及患者自评。该方案是在对文献进行详尽综述、委员会成员的经验以及欧洲喉科学会全体讨论的基础上制定的。仪器设备尽量精简，但对于从事嗓音外科的专业人员来说，被认为是必不可少的。
