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喉切除术后的发展。

Development of Excised Larynx.

机构信息

Department of Otorhinolaryngology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

J Voice. 2020 Jan;34(1):38-43. doi: 10.1016/j.jvoice.2018.07.023. Epub 2018 Sep 24.

Abstract

The larynx is a complex organ which has a role in a variety of functions such as phonation, breathing, and swallowing. To research these functions, it is widely accepted that in vivo studies provide more anatomically and physiologically relevant findings. However, invasive procedures are generally needed to measure variables such a subglottal pressure, vocal fold tension and stiffness, and cricothyroid muscle stretch. Performing studies using excised larynges is a useful technique which makes it possible to not only measure phonation parameters but control them as well. Early studies using excised larynges mainly focused on controlling specific parameters and mathematical modeling simulations. The use of these studies has helped further research in laryngeal anatomy, imaging techniques, as well as aerodynamic, acoustic, and biomechanical properties. Here, we describe the progress of this research over the past 5 years. The number of accepted animal models has increased and ideas from excised larynx studies are starting to be applied to treatment methods for laryngeal disorders. These experiments are only valid for an excised situation and must continue to be combined with animal experimentation and clinical observations.

摘要

喉是一个复杂的器官,在发声、呼吸和吞咽等多种功能中发挥作用。为了研究这些功能,人们普遍认为体内研究提供了更具解剖学和生理学相关性的发现。然而,通常需要进行侵入性程序来测量诸如声门下压、声带张力和僵硬度以及环甲肌伸展等变量。使用离体喉进行研究是一种有用的技术,不仅可以测量发声参数,还可以控制它们。早期使用离体喉的研究主要集中在控制特定参数和数学建模模拟上。这些研究的应用有助于进一步研究喉解剖结构、成像技术以及空气动力学、声学和生物力学特性。在这里,我们描述了过去 5 年来这项研究的进展。被接受的动物模型数量有所增加,并且离体喉研究的思路开始应用于治疗喉部疾病的方法。这些实验仅适用于离体情况,必须继续与动物实验和临床观察相结合。

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