Baker Susan, Kelchner Lisa, Weinrich Barbara, Lee Linda, Willging Paul, Cotton Robin, Zur Karen
Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
J Voice. 2006 Dec;20(4):631-41. doi: 10.1016/j.jvoice.2005.08.012. Epub 2006 Jan 18.
Laryngotracheal stenosis is defined as a congenital or acquired narrowing of the airway. Congenital causes may include subglottic membranous or cartilaginous narrowing. Acquired causes may include trauma due to prolonged endotracheal or tracheal intubation or laryngotracheal injury. Although advances have been made over the past 30 years in reconstructive surgeries to improve airway patency in these patients, long-term laryngeal function for voice production is not well defined in this population. This review examines causes, symptoms and signs, and methods for diagnosing laryngotracheal stenosis. Surgical management procedures are briefly summarized. The current literature on voice outcomes is summarized. The predominant voice characteristics in the population are presented, although results are challenged by the heterogeneity of voice presentation and paucity of data from instrumental measures. Considerations for subjective and instrumental assessment, measures of quality of life, instrumental methods, and treatment options specific to the needs of this population are discussed. Research strategies to identify long-term outcomes of surgical and behavioral treatments in this population are posed.
喉气管狭窄被定义为气道的先天性或后天性狭窄。先天性病因可能包括声门下膜性或软骨性狭窄。后天性病因可能包括长期气管内或气管插管所致的创伤或喉气管损伤。尽管在过去30年里，重建手术在改善这些患者气道通畅性方面取得了进展，但该人群中用于发声的长期喉功能尚不清楚。本综述探讨了喉气管狭窄的病因、症状和体征以及诊断方法。简要总结了手术管理程序。总结了目前关于嗓音结果的文献。尽管嗓音表现的异质性和仪器测量数据的匮乏对结果提出了挑战，但仍介绍了该人群的主要嗓音特征。讨论了主观和仪器评估的注意事项、生活质量测量、仪器方法以及针对该人群需求的治疗选择。提出了确定该人群手术和行为治疗长期结果的研究策略。
