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儿童嗓音与气道疾病的最新进展:评估与护理

Update on pediatric voice and airway disorders: assessment and care.

作者信息

Kelchner Lisa N, Brehm Susan Baker, de Alarcon Alessandro, Weinrich Barbara

机构信息

Cincinnati Children's Hospital Medical Center, University of Cincinnati, Ohio, USA.

出版信息

Curr Opin Otolaryngol Head Neck Surg. 2012 Jun;20(3):160-4. doi: 10.1097/MOO.0b013e3283530ecb.

Abstract

PURPOSE OF REVIEW

To investigate the status of the recent literature focused on studying the assessment and treatment of pediatric voice and airway disorders using both established and novel techniques.

RECENT FINDINGS

Recent research regarding voice assessment and treatment reveals the use of systematic and innovative approaches when collecting instrumental and perceptual voice data. There are recent advancements in certain surgical interventions designed to minimize complications. Wider use of functional endoscopic imaging of the pediatric larynx is improving our understanding of childhood voice production and airway management. There is also an important emerging focus on quantifying the impact of having a childhood voice disorder through the use of new tools. Although there is an increase in pediatric voice and airway research, many studies tend to be entirely descriptive rather than quantitative. There continues to be little specific research that uses prospective, longer-term and formal voice outcomes before and after behavioral and surgical interventions.

SUMMARY

Pediatric voice and airway disorders are an important childhood health problem. Voice assessment in children should include formal perceptual and instrumental evaluations, including sophisticated acoustic, aerodynamic and imaging modalities. The care of these children requires a collaborative approach that includes systematic and innovative treatment methods.

摘要

综述目的

探讨近期聚焦于运用既有技术和新技术研究儿童嗓音及气道疾病评估与治疗的文献状况。

近期研究结果

近期有关嗓音评估与治疗的研究表明,在收集仪器测量和主观感知的嗓音数据时采用了系统且创新的方法。某些旨在将并发症降至最低的外科干预措施有了新进展。小儿喉部功能性内镜成像的更广泛应用正在增进我们对儿童嗓音产生及气道管理的理解。通过使用新工具,对儿童嗓音障碍影响进行量化也成为一个重要的新关注点。尽管儿童嗓音及气道研究有所增加,但许多研究往往完全是描述性的,而非定量研究。行为和手术干预前后使用前瞻性、长期且正式的嗓音结果的具体研究仍然很少。

总结

儿童嗓音及气道疾病是一个重要的儿童健康问题。儿童嗓音评估应包括正式的主观感知和仪器测量评估,包括复杂的声学、空气动力学和成像方式。对这些儿童的护理需要一种协作方法,包括系统且创新的治疗方法。

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