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韩氏悬雍垂腭咽成形术后的嗓音功能

Voice function following Han's uvulopalatopharyngoplasty.

作者信息

Han D, Xu W, Hu R, Zhang L

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China.

出版信息

J Laryngol Otol. 2012 Jan;126(1):47-51. doi: 10.1017/S0022215111002325. Epub 2011 Aug 26.

Abstract

OBJECTIVE

To investigate voice function following Han's uvulopalatopharyngoplasty.

PATIENTS AND METHODS

Acoustic and articulatory function was examined by acoustic analysis and by formant frequency and bandwidth analysis, before and after Han's uvulopalatopharyngoplasty, in 56 patients with obstructive sleep apnoea hypopnoea syndrome.

RESULTS

These patients' normalised noise energy was higher than normal, and improved post-operatively. Their pre-operative F1, F2, and F3 formant frequencies and B1 and B2 formant bandwidths were significantly lower than those of normal controls; however, one month after surgery their F1 and F2 frequencies were markedly higher.

CONCLUSION

The acoustic and articulatory characteristics of obstructive sleep apnoea hypopnoea syndrome patients differed from those of normal subjects. After Han's uvulopalatopharyngoplasty, obstructive factors in the oropharynx were relieved, allowing oropharyngeal cavity expansion and a gradual increase in formant frequency to within the normal range. Patients' vocal quality improved and their resonator and articulator functions were protected and enhanced.

摘要

目的

探讨韩氏悬雍垂腭咽成形术后的嗓音功能。

患者与方法

对56例阻塞性睡眠呼吸暂停低通气综合征患者在韩氏悬雍垂腭咽成形术前及术后,通过声学分析以及共振峰频率和带宽分析来检查声学和发音功能。

结果

这些患者的标准化噪声能量高于正常水平,术后有所改善。他们术前的F1、F2和F3共振峰频率以及B1和B2共振峰带宽显著低于正常对照组;然而,术后1个月他们的F1和F2频率明显升高。

结论

阻塞性睡眠呼吸暂停低通气综合征患者的声学和发音特征与正常受试者不同。韩氏悬雍垂腭咽成形术后,口咽的阻塞因素得到缓解,口咽腔得以扩张,共振峰频率逐渐增加至正常范围内。患者的嗓音质量得到改善,其共鸣器和发音器功能得到保护和增强。

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