Rajasudhakar R
Department of SpeechLanguage Sciences, All India Institute of Speech and Hearing (AIISH).
S Afr J Commun Disord. 2016 Nov 30;63(1):e1-e5. doi: 10.4102/sajcd.v63i1.146.
Sulcus vocalis is a structural deformity of the vocal ligament. It is the focal invagination of the epithelium deeply attaching to the vocal ligament. There is a dearth of literature on the outcome of voice therapy in sulcus vocalis condition.
The primary objective of this study was to document voice characteristics of sulcus vocalis and the secondary objective was to establish the efficacy of voice therapy in a patient with sulcus vocalis.
A trial of voice therapy was given to the client who was diagnosed as having sulcus vocalis. Boon's facilitation techniques were used in voice therapy along with other techniques such as breath holding and push and pull approach prior to surgery. Acoustic, aerodynamic, perceptual, quantitative measures of voice quality and self-rating measurements were performed before and after voice therapy.
Improvement was noticed in 10/10 acoustic, 4/4 aerodynamic, perceptual, dysphonia severity index and voice handicap index scores, which hinted that voice therapy can be an option critically for clients with sulcus vocalis in the initial stage.
Voice therapy showed promising improvement in the study and it must be recommended as the initial treatment option before any surgical management.
声带沟是声带韧带的一种结构畸形。它是上皮细胞向深部附着于声带韧带的局灶性内陷。关于声带沟患者嗓音治疗效果的文献较少。
本研究的主要目的是记录声带沟的嗓音特征，次要目的是确定嗓音治疗对声带沟患者的疗效。
对一名被诊断为声带沟的患者进行嗓音治疗试验。在嗓音治疗中采用了布恩促进技术以及其他技术，如术前的屏气、推拉法。在嗓音治疗前后进行了嗓音质量的声学、空气动力学、感知、定量测量以及自评测量。
在10项声学指标、4项空气动力学指标、感知指标、发音障碍严重程度指数和嗓音障碍指数评分中均有改善，这表明嗓音治疗对于处于初始阶段的声带沟患者来说可能是一个关键选择。
在本研究中，嗓音治疗显示出有希望的改善效果，在进行任何手术治疗之前，必须推荐将其作为初始治疗选择。
