Kosztyła-Hojna Bozena, Rogowski Marek
Katedra i Klinika Otolaryngologii Akademii Medycznej w Białymstoku.
Pol Merkur Lekarski. 2003 May;14(83):413-6.
The observation of the glottis and the vocal fold mobility during phonation enables the diagnosis of larynx pathology. Videolaryngostroboscopy (VLSS) facilitates acquiring a precise endoscopic picture and an evaluation of the vocal fold vibratory movements. This method is recognised as an objective, repetitive and non-invasive approach to accelerate early diagnosis in laryngeal carcinoma, vocal nodules, vocal fold paresis, larynx oedema, functional dysphonia and presbyphonia. The mucosal wave is a particularly important parameter in the stroboscopic examination. The absence of mucosal wave indicates microinfiltrations in the T1 stage of glottic carcinoma and vocal hard nodules, the complete form of paretic dysphonia and the severe form of atrophic presbyphonia. The recurrent mucosal wave suggests re-innervation in the paretic dysphonia. Aberrations in the vocal fold vibrations indicate a supraepithelial oedema of the laryngeal mucosa and a functional type of dysphonia, requiring differential therapy. The larynx image recorded on a video tape is a valuable diagnostic evidence that allows monitoring of therapeutic effects and phoniatric rehabilitation.
发声时对声门和声带活动度的观察有助于诊断喉部病变。视频喉镜频闪检查法（VLSS）有助于获取精确的内镜图像并评估声带振动运动。该方法被认为是一种客观、可重复且无创的方法，可加速喉癌、声带小结、声带麻痹、喉部水肿、功能性发声障碍和老年失音的早期诊断。黏膜波是频闪检查中一个特别重要的参数。黏膜波消失提示声门型癌T1期的微浸润和声带硬性小结、完全性麻痹性发声障碍以及重度萎缩性老年失音。反复出现的黏膜波提示麻痹性发声障碍中的再支配。声带振动异常提示喉黏膜上皮下水肿和功能性发声障碍类型，需要进行鉴别治疗。录像带上记录的喉部图像是有价值的诊断依据，可用于监测治疗效果和嗓音康复情况。
