University of Pittsburgh Voice Center, University of Pittsburgh Medical Center, Department of Otolaryngology, Pittsburgh, Pennsylvania, USA.
Laryngoscope. 2011 Mar;121(3):585-9. doi: 10.1002/lary.21122. Epub 2010 Aug 3.
OBJECTIVES/HYPOTHESIS: To characterize perceived voice handicap of patients diagnosed with vocal fold atrophy and review treatment success.
Retrospective study.
Two hundred seventy-five patients diagnosed with vocal fold atrophy (January 2007-January 2009) were reviewed from a preexisting clinical database. Outcome measures included pre/post-treatment Voice Handicap Index-10 and data from a voice therapy discharge survey.
Five groups emerged from the data set. Group A: patients who had no follow-up (69%). After removing group A from the data set, the following groups emerged: group B: patients who had no treatment but some follow-up (31%); group C: patients who had voice therapy only (44%); group D: patients who had surgery only (15%); and group E: patients who had voice therapy first and subsequent surgery (9%). The perceived voice handicap severity was worse for groups C and D compared to groups A, B, and E. Treatment success outcomes showed that groups C (36%), D (56%), and E (17%) only improved marginally. However, 81% of patients diagnosed with atrophy believed that voice therapy helped them but only by 48%.
Treatment success for age-related vocal fold atrophy is poor to moderately poor for this cohort of patients.
目的/假设：描述声带萎缩患者的主观嗓音障碍，并回顾治疗效果。
回顾性研究。
从一个现有的临床数据库中回顾了 275 名被诊断为声带萎缩的患者（2007 年 1 月至 2009 年 1 月）。评估指标包括治疗前后的嗓音障碍指数 10 评分以及嗓音治疗出院调查问卷的数据。
数据集分为五组。组 A：69%的患者无随访。将组 A 从数据集中剔除后，出现以下几组：组 B：31%未经治疗但有随访的患者；组 C：44%仅接受嗓音治疗的患者；组 D：15%仅接受手术的患者；组 E：先接受嗓音治疗，随后手术的患者（9%）。与组 A、B 和 E 相比，组 C 和 D 的主观嗓音障碍严重程度更严重。治疗效果显示，组 C（36%）、组 D（56%）和组 E（17%）仅略有改善。然而，81%的声带萎缩患者认为嗓音治疗对他们有帮助，但仅帮助了 48%。
对于该患者队列，年龄相关性声带萎缩的治疗效果较差或中等。
