Richter B, Echternach M
Freiburger Institut für Musikermedizin, Musikhochschule Freiburg und Universitätsklinikum Freiburg, Breisacherstrasse 60, 79106, Freiburg, Deutschland.
HNO. 2011 Jun;59(6):547-55. doi: 10.1007/s00106-011-2307-y.
ENT/phoniatrics specialists are frequently the primary reference persons for patients who have problems with the professional use of their voice. Singers show the highest risk factors for voice disorders among all professional voice users. The treatment and care of singers requires specific knowledge and competence of the physician, as well as a treatment setting adapted to the needs of this special group of patients, whose existence depends on the use of their voice. To some extent, evidence based concepts can be taken into account when treating professional singers. In cases for which no concepts have yet been developed and evaluated, recourse to clinical experience is necessary. In the present paper, current concepts for the treatment of singers are discussed on the basis of scientific publications and on long-standing experience of consultations in musician's medicine and ENT, under the aspects of diagnosis, therapy as well as prevention, taking into account the most frequent voice problems in professional singers.
耳鼻喉科/儿童语音治疗专家常常是那些在职业用嗓方面存在问题的患者的主要咨询对象。在所有职业用嗓人群中，歌手出现嗓音障碍的风险因素最高。对歌手的治疗和护理需要医生具备特定的知识和能力，以及适应这一特殊患者群体需求的治疗环境，因为他们的职业发展依赖于嗓音的使用。在治疗职业歌手时，在一定程度上可以考虑循证医学概念。对于尚未形成和评估相关概念的情况，就有必要借助临床经验。在本文中，基于科学出版物以及在音乐家医学和耳鼻喉科长期的会诊经验，从诊断、治疗以及预防等方面，结合职业歌手最常见的嗓音问题，对当前歌手的治疗概念进行了讨论。
