Servicio de Otorrinolaringología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain; Servicio de Otorrinolaringología, Hospital Universitario La Zarzuela, Madrid, Spain.
Servicio de Otorrinolaringología, Hospital Universitario de Fuenlabrada, Fuenlabrada, Madrid, Spain; Servicio de Otorrinolaringología, Hospital Universitario La Zarzuela, Madrid, Spain.
J Voice. 2019 Nov;33(6):915-922. doi: 10.1016/j.jvoice.2018.06.013. Epub 2018 Aug 16.
OBJECTIVES/HYPOTHESIS: We analyzed the results of 10 patients treated by unilateral autologous temporal fascia graft, comparing the pre and post surgery results, as well as the appearance of the wave and the intervals until the re-appearance of it.
Retrospective, clinical case series.
Subjective and objective evaluation was preoperatively and postoperatively performed, using laryngovideostroboscopy, the Voice Handicap Index-10, GRBAS (grade, roughness, breathiness, asthenia, and strain), harmonics to noise ratio, Jitter, Shimmer, phonatory range, maximum phonation time, and S/Z ratio in all patients. Postoperative visits were scheduled after 1 week, 1 month, at 3 months, and at 6 months after the surgery.
After surgery, we found significant differences in the maximum phonation time and the S/Z ratio (P <0.05). Most parameters of GRBAS also improved significantly, both in general and in the subscales, except for Breathiness and Asthenia (P <0.05). There was an average decrease in Voice Handicap Index-10 of 11.2 (P <0.05). At laryngovideostroboscopy, the mucous wave reappeared in all patients treated 1 month after surgery, and increased in amplitude until 6 months postoperative.
目的/假设：我们分析了 10 例单侧自体颞筋膜移植患者的治疗结果，比较了手术前后的结果，以及波的出现和再次出现的间隔。
回顾性临床病例系列。
对所有患者进行术前和术后的主观和客观评估，使用频闪喉镜、嗓音障碍指数 10 项（Voice Handicap Index-10）、GRBAS（等级、粗糙度、气息声、无力和紧张）、谐波噪声比、微扰、振幅微扰、发音范围、最长发音时间和 S/Z 比。术后随访分别在术后 1 周、1 个月、3 个月和 6 个月进行。
手术后，我们发现最大发音时间和 S/Z 比有显著差异（P <0.05）。GRBAS 的大多数参数也显著改善，无论是在总体上还是在子量表上，除了气息声和无力（P <0.05）。嗓音障碍指数 10 项的平均降低了 11.2（P <0.05）。在频闪喉镜下，所有患者在术后 1 个月时均出现黏液波，且振幅增加，直至术后 6 个月。
