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一种用于检查声带损伤后发声恢复的新模型。

A novel model for examining recovery of phonation after vocal nerve damage.

机构信息

Department of Otolaryngology-Head & Neck Surgery, University of Washington School of Medicine, Seattle, Washington, USA.

出版信息

J Voice. 2011 May;25(3):275-82. doi: 10.1016/j.jvoice.2009.11.005. Epub 2010 Feb 26.

Abstract

OBJECTIVES/HYPOTHESIS: Recurrent laryngeal nerve injury remains a dominant clinical issue in laryngology. To date, no animal model of laryngeal reinnervation has offered an outcome measure that can reflect the degree of recovery based on vocal function. We present an avian model system for studying recovery of learned vocalizations after nerve injury.

STUDY DESIGN

Prospective animal study.

METHODS

Digital recordings of bird song were made from 11 adult male zebra finches; nine birds underwent bilateral crushing of the nerve supplying the vocal organ, and two birds underwent sham surgery. Songs from all the birds were then recorded regularly and analyzed based on temporal and spectral characteristics using computer software. Indices were calculated to indicate the degree of similarity between preoperative and postoperative song.

RESULTS

Nerve crush caused audible differences in song quality and significant drops (P<0.05) in measured spectral and, to a lesser degree, temporal indices. Spectral indices recovered significantly (mean=43.0%; standard deviation [SD]=40.7; P<0.02), and there was an insignificant trend toward recovery of temporal index (mean=28.0%; SD=41.4; P=0.0771). In five of the nine (56%) birds, there was a greater than 50% recovery of spectral indices within a 4-week period. Two birds exhibited substantially less recovery of spectral indices and two birds had a persistent decline in spectral indices. Recovery of temporal index was highly variable as well, ranging from persistent further declines of 45.1% to recovery of 87%. Neither sham bird exhibited significant (P>0.05) differences in song after nerve crush.

CONCLUSION

The songbird model system allows functional analysis of learned vocalization after surgical damage to vocal nerves.

摘要

目的/假设:喉返神经损伤仍然是喉科学中的一个主要临床问题。迄今为止,尚无喉神经再支配的动物模型提供一种基于发声功能反映恢复程度的结果测量。我们提出了一种用于研究神经损伤后习得性发声恢复的禽类模型系统。

研究设计

前瞻性动物研究。

方法

对 11 只成年雄性斑马雀进行鸟鸣的数字录音;9 只鸟接受双侧供应发声器官的神经挤压,2 只鸟接受假手术。然后定期记录所有鸟类的歌曲,并使用计算机软件根据时间和频谱特征进行分析。计算指标以表示术前和术后歌曲的相似程度。

结果

神经挤压导致歌声质量出现明显差异,并导致测量的频谱和(在较小程度上)时间指标显著下降(P<0.05)。频谱指标显著恢复(均值=43.0%;标准差[SD]=40.7;P<0.02),且时间指标有恢复趋势(均值=28.0%;SD=41.4;P=0.0771)。在 9 只鸟中的 5 只(56%)中,在 4 周内,频谱指标的恢复超过 50%。2 只鸟的频谱指标恢复较少,2 只鸟的频谱指标持续下降。时间指标的恢复也高度可变,范围从持续进一步下降 45.1%到恢复 87%。在神经挤压后,没有假鸟表现出显著的(P>0.05)歌曲差异。

结论

鸣禽模型系统允许在对发声神经进行手术损伤后对习得性发声进行功能分析。

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