Bastian Robert W, Thomas James P
Department of Laryngology, Private Practice, Downers Grove, Illinois.
Department of Laryngology, Private Practice, Portland, Oregon.
J Voice. 2016 Sep;30(5):557-62. doi: 10.1016/j.jvoice.2015.06.012. Epub 2015 Aug 24.
Assess the correlation between self-rating scales of talkativeness and loudness with various types of voice disorders.
This is a retrospective study.
A total of 974 patients were analyzed. The cohort study included 430 consecutive patients presenting to the senior author with voice complaints from December 1995 to December 1998. The case-control study added 544 consecutive patients referred to the same examiner from January 1988 to December 1998 for vocal fold examination before thyroid, parathyroid, and carotid surgery. Patient responses on seven-point Likert self-rating scales of talkativeness and loudness were compared with laryngeal disease.
Mucosal lesions clearly associated with vibratory trauma are strongly associated with a high self-rating of talkativeness. Laryngeal deconditioning disorders were associated with a low self-rating of talkativeness.
Use of a simple self-rating scale of vocal loudness and talkativeness during history taking can reliably orient the examiner to the types of voice disorders likely to be diagnosed subsequently during vocal capability testing and visual laryngeal examination. The high degree of talkativeness and loudness seen in vocal overdoers correlates well with mucosal disorders such as nodules, polyps, capillary ectasia, epidermoid inclusion cysts, and hemorrhage. A lower degree of talkativeness correlates with muscle deconditioning disorders such as vocal fold bowing, atrophy, presbyphonia, and vocal fatigue syndrome.
评估健谈程度和音量的自评量表与各类嗓音障碍之间的相关性。
这是一项回顾性研究。
共分析了974例患者。队列研究纳入了1995年12月至1998年12月期间连续430例因嗓音问题前来就诊于资深作者的患者。病例对照研究补充了1988年1月至1998年12月期间连续544例因甲状腺、甲状旁腺和颈动脉手术前声带检查而被转诊至同一位检查者处的患者。将患者在健谈程度和音量的七点李克特自评量表上的回答与喉部疾病进行比较。
与振动性创伤明显相关的黏膜病变与健谈程度的高自评强烈相关。喉部功能减退性障碍与健谈程度的低自评相关。
在病史采集过程中使用简单的嗓音音量和健谈程度自评量表，能够可靠地使检查者在随后的嗓音能力测试和喉镜检查中确定可能被诊断出的嗓音障碍类型。嗓音过度使用者中出现的高度健谈和音量与诸如结节、息肉、毛细血管扩张、表皮样包涵囊肿和出血等黏膜疾病密切相关。较低的健谈程度与诸如声带弯曲、萎缩、老年嗓音和嗓音疲劳综合征等肌肉功能减退性障碍相关。
