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[通畅鼻腔功能障碍对嗓音质量的影响]

[Influence of handicapped of patency nose on quality created of voice].

作者信息

Ratajczak Jan, Rapiejko Piotr, Wojdas Andrzej, Jurkiewicz Dariusz

机构信息

Wojskowy Instytut Medyczny, Klinika Otolaryngologii CSK MON Warszawa.

出版信息

Otolaryngol Pol. 2009 Sep;63(7):58-63. doi: 10.1016/S0030-6657(09)70191-X.

Abstract

AIM

The aim of researches was estimation of quality of voice after operations correcting of the nasal septum deviation.

MATERIALS AND METHODS

With researches one embraced 40 men in two groups (group I: 20-30 of years old, group II--above 50 of year old). Voice one priced before operation of corrective nose and 6 of months after executed intervention. In researches one used with scale GRBAS, with estimation laryngostroboskopy of function of vocal folds, with acoustic analysis created of voice, with measurement of maximum phonation time and with Polish version of VHI. Patency of nose priced patients at subjective help of five--gradual of scale.

RESULTS

After 6 months all ill favourably priced effect executed of operation improving patency of nose. In scale GRBAS in group I examined voice one priced as normal at 12 ill (60%), instead in group II only at 3 men (15%). Above--regularity refers also of roughness of voice. In stroboscope research executed before operation at almost all ill one ascertained diminution of amplitude of twitches of folds vocal and mucosal wave. After 6 months after operation in group I both amplitude of twitches of vocal folds as and mucosal wave at mostly examined surrendered of normalization. In group II profitable changes we observed only at several of persons. Maximum phonation time of vowel "a" after operation of nose surrendered to extension in both groups examined, however men of group I reached significantly better results, with average value approaching to norms. In acoustic analysis to distinct improvement, but only in group I examined surrendered parameter NHR. In estimation with test VHI six months after operation sense of disturbances of voice in both groups surrendered to diminution, in proportion to qualities created of voice.

CONCLUSIONS

Operating--restoration physiological air passage at all ill causes diminution or liquidation earlier stepping out of disturbances of voice. From passed researches results, that improvement of health, manifesting itself voice euphonious is in considerable percentage possible only at young persons. At ill in middle age and older to entire liquidation of disturbances of voice will reach in single chances.

摘要

目的

研究的目的是评估鼻中隔偏曲矫正手术后的嗓音质量。

材料与方法

研究纳入40名男性,分为两组(第一组:20至30岁,第二组:50岁以上)。在进行鼻部矫正手术前及手术后6个月对嗓音进行评估。研究中使用GRBAS量表、评估声带功能的喉动态镜检查、嗓音的声学分析、最大发声时间测量以及波兰语版的嗓音障碍指数(VHI)。通过五级主观量表评估患者的鼻腔通畅情况。

结果

6个月后,所有患者对手术改善鼻腔通畅的效果评价良好。在GRBAS量表中,第一组12名患者(60%)的嗓音被评为正常,而第二组只有3名男性(15%)。嗓音粗糙程度也呈现上述规律。在手术前的动态镜检查中,几乎所有患者都发现声带振动幅度和黏膜波减小。手术后6个月,第一组大多数受检者的声带振动幅度和黏膜波均恢复正常。在第二组中,仅在少数人身上观察到有益变化。两组患者在鼻部手术后,元音“a”的最大发声时间均延长,但第一组男性取得了显著更好的结果,平均值接近正常水平。在声学分析中,有明显改善,但仅在第一组受检者中NHR参数恢复正常。在VHI测试评估中,手术后6个月,两组患者的嗓音障碍感均减轻,与嗓音质量改善程度成正比。

结论

对所有患者进行手术恢复生理气道可减少或消除早期出现的嗓音障碍。从过往研究结果来看,嗓音悦耳所体现的健康改善在相当比例上仅在年轻人中可能实现。中年及老年患者完全消除嗓音障碍的机会渺茫。

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