Jackson-Menaldi Cristina A, Dzul Andrew I, Holland R Wayne
Lakeshore Professional Voice Center, Lakeshore Ear, Nose and Throat Center, St. Clair Shores, Michigan 48081, USA.
Logoped Phoniatr Vocol. 2002;27(2):74-9. doi: 10.1080/140154302760409293.
The treatment of the allergic voice patient may be somewhat different than other voice patients. Antihistamines are generally avoided, though decongestants with Guaifenesin may be useful. Steroids are more useful in perennial allergic systems. Steroids may be inhaled nasally, inhaled orally, or given systemically. Systemic steroids are especially useful for a performer who needs quick relief. We strongly feel that vocalists with chronic laryngitis and dysphonia should be allergy tested. A hidden dust mite or cat dander allergy is often found. A clean indoor environment can then be established. Immunotherapy injections can also be initiated. Both of these treatments, desensitization injections and environmental control, are especially useful in vocalists. These treatments are helpful in keeping a vocalist's trachea, larynx, and nasal cavity healthy. A careful search for mild asthma should be considered. Establishing good vocal hygiene and voice training may also be necessary.
变声期过敏患者的治疗可能与其他嗓音患者有所不同。一般应避免使用抗组胺药，不过含有愈创甘油醚的减充血剂可能有用。类固醇在常年性过敏症中更有用。类固醇可以通过鼻腔吸入、口服吸入或全身给药。全身用类固醇对需要快速缓解的表演者尤其有用。我们强烈认为，患有慢性喉炎和发音障碍的歌手应该进行过敏测试。经常会发现潜在的尘螨或猫皮屑过敏。然后可以建立一个清洁的室内环境。也可以开始免疫疗法注射。脱敏注射和环境控制这两种治疗方法对歌手尤其有用。这些治疗有助于保持歌手的气管、喉部和鼻腔健康。应考虑仔细排查轻度哮喘。建立良好的嗓音卫生习惯和进行嗓音训练可能也是必要的。
