Hari Kumar K V S, Garg Anurag, Ajai Chandra N S, Singh S P, Datta Rakesh
Department of Endocrinology, Command Hospital, Chandimandir, Panchkula, Haryana, India.
Department of Anesthesiology, Command Hospital, Chandimandir, Panchkula, Haryana, India.
Indian J Endocrinol Metab. 2016 Sep-Oct;20(5):590-594. doi: 10.4103/2230-8210.190523.
Voice is one of the advanced features of natural evolution that differentiates human beings from other primates. The human voice is capable of conveying the thoughts into spoken words along with a subtle emotion to the tone. This extraordinary character of the voice in expressing multiple emotions is the gift of God to the human beings and helps in effective interpersonal communication. Voice generation involves close interaction between cerebral signals and the peripheral apparatus consisting of the larynx, vocal cords, and trachea. The human voice is susceptible to the hormonal changes throughout life right from the puberty until senescence. Thyroid, gonadal and growth hormones have tremendous impact on the structure and function of the vocal apparatus. The alteration of voice is observed even in physiological states such as puberty and menstruation. Astute clinical observers make out the changes in the voice and refer the patients for endocrine evaluation. In this review, we shall discuss the hormonal influence on the voice apparatus in normal and endocrine disorders.
嗓音是自然进化的高级特征之一，它使人类有别于其他灵长类动物。人类的嗓音能够将思想转化为言语，并在语调中融入微妙的情感。嗓音在表达多种情感方面的这种非凡特性是上帝赐予人类的礼物，有助于进行有效的人际交流。嗓音的产生涉及大脑信号与由喉、声带和气管组成的外周器官之间的密切相互作用。人类的嗓音在从青春期到衰老的一生中都容易受到激素变化的影响。甲状腺、性腺和生长激素对发声器官的结构和功能有巨大影响。即使在青春期和月经等生理状态下也能观察到嗓音的变化。敏锐的临床观察者能够识别嗓音的变化，并将患者转介进行内分泌评估。在这篇综述中，我们将讨论激素在正常情况和内分泌疾病中对发声器官的影响。
