Rubin Adam D, Praneetvatakul Veeraphol, Heman-Ackah Yolanda, Moyer Cheryl A, Mandel Steven, Sataloff Robert T
Lakeshore Professional Voice Center, Lakeshore Ear, Nose, & Throat Center, St. Clair Shores, MI, USA.
J Voice. 2005 Dec;19(4):679-86. doi: 10.1016/j.jvoice.2004.11.001.
Vocal fold paresis may be present in patients with voice complaints. Identification of paresis is important so that appropriate neurolaryngologic evaluation can be ordered and the appropriate treatment can be offered. Repetitive phonatory tasks (RPTs) fatigue patients vocally and may elicit signs of subtle paresis. In this study, four laryngologists independently reviewed the RPT portions of routine fiberoptic voice examinations of 100 patients in a blinded fashion. All patients had presented with voice complaints, were suspected of having a movement disorder of the larynx, and had been referred for laryngeal electromyography (LEMG). Predictions were compared with LEMG results and with predictions made at the time of each initial evaluation. Although RPTs are useful to laryngologists, predictions based on the entire examination are more accurate. LEMG can confirm clinical suspicions or identify paresis missed on fiberoptic laryngeal examination.
声音主诉的患者可能存在声带麻痹。识别麻痹很重要，以便能安排适当的神经喉科学评估并提供合适的治疗。重复性发声任务（RPTs）会使患者发声疲劳，并可能引发细微麻痹的体征。在本研究中，四位喉科医生以盲法独立审阅了100例患者常规纤维喉镜嗓音检查的RPT部分。所有患者均有声音主诉，怀疑有喉部运动障碍，并已被转诊进行喉肌电图检查（LEMG）。将预测结果与LEMG结果以及每次初次评估时做出的预测进行比较。尽管RPTs对喉科医生有用，但基于整个检查做出的预测更准确。LEMG可以证实临床怀疑或识别纤维喉镜检查中遗漏的麻痹。
