Kluch Wiesław, Olszewski Jurek
Klinika Otolaryngologii i Onkologii, Laryngologicznej II Katedry Otolaryngologii, Uniwersytetu Medycznego w Łodzi.
Otolaryngol Pol. 2009 Sep;63(7):11-5. doi: 10.1016/S0030-6657(09)70181-7.
The aim of the work was to evaluate effects of the surgical treatment and postoperative rehabilitation of the patients with organic lesions of the larynx using laryngostroboscopy.
A group of 110 patients of both sex was covered by the studies, aged 19-65, who underwent surgical treatment due to organic lesion in the larynx. The voice was assessed using the perceptive GRBAS scale and the laryngostroboscopic examination following and preceding the surgical treatment and foniatric rehabilitation (30 days after the operation). Direct microlaryngoscopic procedures were performed under local intratracheal anaesthesia, whereas the CO2 laser was used in the surgery in 18.2% cases and the other cases (81.8%) had the traditional technique applied. RESULTS OF THE STUDIES: In the studied material the following was found: chronic hypertrophic laryngitis in 46.4% of the patients, Reincke's laryngeal oedema in 29.1% of the patients, vocal cord polyp in 22.7% of the patients and laryngeal papilloma in 1.8% of the patients. The voice evaluation based on the GRBAS scale indicated that better voice improvement after the treatment and rehabilitation was found in the patients with Reincke's oedema and vocal fold polyp rather than in those with chronic laryngeal hypertrophy. The majority showed the degree of hoarseness, rough voice, blowing voice, weak and tight voice in the scale of either 0 or 1, contrary to the evaluation preceding the surgery. No better voice improvement was achieved in the GRBAS scale in the patients with laryngeal papilloma. On the grounds of the laryngostroboscopic examination it was found that the best voice improvement occurred after the surgical treatment and rehabilitation of the patients suffering from Reincke's oedema and vocal cord polyps.
On the basis of the GRBAS scale and laryngostroboscopic examination of the patients after their surgical treatment and rehabilitation the best results in the voice quality were found in the patients with laryngeal polyps and Reincke's oedema whereas the worst results occurred in the patients with laryngeal papilloma.
本研究旨在通过喉动态镜检查评估喉器质性病变患者手术治疗及术后康复的效果。
本研究纳入110例年龄在19至65岁之间的男女患者，这些患者因喉部器质性病变接受了手术治疗。在手术治疗及嗓音康复（术后30天）前后，使用GRBAS主观评分量表和喉动态镜检查对嗓音进行评估。直接显微喉镜手术在局部气管内麻醉下进行，18.2%的病例在手术中使用了二氧化碳激光，其余病例（81.8%）采用传统技术。研究结果：在研究材料中发现以下情况：46.4%的患者患有慢性肥厚性喉炎，29.1%的患者患有莱因克水肿，22.7%的患者患有声带息肉，1.8%的患者患有喉乳头状瘤。基于GRBAS量表的嗓音评估表明，与慢性喉肥厚患者相比，莱因克水肿和声带息肉患者在治疗和康复后的嗓音改善更好。大多数患者在量表中的嘶哑程度、粗糙嗓音、吹气样嗓音、微弱及紧绷嗓音评分为0或1，与手术前评估相反。喉乳头状瘤患者在GRBAS量表中未取得更好的嗓音改善。基于喉动态镜检查发现，莱因克水肿和声带息肉患者在手术治疗及康复后嗓音改善最佳。
根据对患者手术治疗及康复后的GRBAS量表和喉动态镜检查结果，发现喉息肉和莱因克水肿患者的嗓音质量改善最佳，而喉乳头状瘤患者的结果最差。
