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声带息肉:文献综述

Vocal Fold Polyps: Literature Review.

作者信息

Vasconcelos Daniela de, Gomes Adriana de Oliveira Camargo, Araújo Cláudia Marina Tavares de

机构信息

Speech Therapy Service, Hospital das Clínicas, Universidade Federal de Pernambuco, Recife, PE, Brazil.

Department of Speech-Language Pathology and Audiology, Universidade Federal de Pernambuco, Recife, PE, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2019 Jan;23(1):116-124. doi: 10.1055/s-0038-1675391. Epub 2019 Jan 14.

Abstract

Vocal fold polyps are one of the most frequent benign laryngeal lesions, impacting the quality of life of those affected by them, primarily the vocal production. Despite being a well-established therapy in conjunction with surgery, speech therapy alone may also be effective in treating these lesions. As such, otolaryngologists and speech therapists need updated bibliographic knowledge on the issue.  To describe the literature findings on vocal fold polyps that discuss prevalence, etiology, histology, physiopathology, vocal characteristics or treatment.  The present study is a review article based on a bibliographic search using platforms, databases and search engines, with no restrictions on means of publication, methodological quality or language. All the articles on vocal fold polyps pertaining to the object of study published in the past 15 years were included. Among the characteristics investigated, the most discussed were prevalence of men, smoking as an etiological cofactor, the possibility of histological differentiation from vocal nodules, the relationship with cover minor structural alterations, and the indication and effectiveness of different treatment options.  Despite the discrepancies found in the present literature review on vocal fold polyps, there has been a notable scientific progress in the otolaryngologic techniques and in the effectiveness of speech therapy as initial treatment, with direct and indirect techniques, corroborating the need for scientific investigation of the issue.

摘要

声带息肉是最常见的喉部良性病变之一,影响着患者的生活质量,主要是发声。尽管手术联合治疗已被广泛应用,但单独的言语治疗对这些病变也可能有效。因此,耳鼻喉科医生和言语治疗师需要了解该问题的最新文献知识。

描述关于声带息肉的文献研究结果,内容涉及患病率、病因、组织学、生理病理学、发声特征或治疗。

本研究是一篇综述文章,基于使用平台、数据库和搜索引擎进行的文献检索,对发表方式、方法质量或语言均无限制。纳入了过去15年发表的所有与研究对象相关的关于声带息肉的文章。在所研究的特征中,讨论最多的是男性患病率、吸烟作为病因辅助因素、与声带小结进行组织学鉴别诊断的可能性、与声带表层微小结构改变的关系,以及不同治疗方案的适应证和有效性。

尽管在本次声带息肉文献综述中发现了一些差异,但耳鼻喉科技术以及言语治疗作为初始治疗的有效性方面已经取得了显著的科学进展,包括直接和间接技术,这证实了对该问题进行科学研究的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/443a/6331298/8743ee92cb14/10-1055-s-0038-1675391-i0802um-1.jpg

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