频闪喉镜评估单侧声带麻痹：系统评价。
Stroboscopic assessment of unilateral vocal fold paralysis: a systematic review.
机构信息
Department of Otolaryngology, Head and Neck Surgery, University of Paris 12, Paris, France.
Department of Otolaryngology, Head and Neck Surgery, Foch Hospital, Paris, France.
出版信息
Eur Arch Otorhinolaryngol. 2019 Sep;276(9):2377-2387. doi: 10.1007/s00405-019-05562-x. Epub 2019 Jul 26.
PURPOSE
To review the relevant basic stroboscopic evaluations in unilateral vocal fold paralysis (UVFP). Our aim was twofold: (1) to determine the frequency of use of stroboscopic parameters in outcome evaluation after surgical treatment of UVFP using a Pareto diagram; and (2) to select the most relevant parameters in terms of a significant difference between pre- and post-surgical intervention for UVFP.
METHODS
A systematic review in PUBMED includes studies on stroboscopic evaluation in combination with UVFP and surgical treatment. The review was limited to English studies published between 1990 and March 2018. The most frequently used stroboscopic parameters were identified using a Pareto diagram. Then, 'the percentage of significance' for the most frequently stroboscopic parameters was identified by comparing the number of studies that showed a statistically significant change in pre- and post-treatment results with the total number of studies using the same parameters.
RESULTS
Seven stroboscopic parameters were nominated using the Pareto diagram. In decreasing order of citation frequency, periodicity, edge bowing, mucosal wave, glottic gap, position of vocal fold, amplitude, and symmetry have respective percentages of significance of 87.5%, 83.3%, 77.7%, 64.5%, 60%, 57.1%, and 50%. Five pertinent scales were selected for the most frequent and significant stroboscopic parameters.
CONCLUSIONS
The results indicate that periodicity, edge bowing, mucosal wave, glottic gap, and position of vocal fold represent the five most frequently used and relevant stroboscopic parameters in UVFP evaluation. The current review outlines a proposal scale of these stroboscopic parameters.
PROSPERO REGISTRATION NUMBER
CRD42019126786.
目的
回顾单侧声带麻痹（UVFP）相关的频闪评估基础。我们的目的有两个：（1）通过 Pareto 图确定使用手术治疗 UVFP 后，频闪参数在结果评估中的使用频率；（2）选择在 UVFP 术前和术后干预方面有显著差异的最相关参数。
方法
在 PUBMED 中进行系统评价，包括与频闪评估联合应用于 UVFP 和手术治疗的研究。该评价仅限于 1990 年至 2018 年 3 月间发表的英语研究。通过 Pareto 图确定最常用的频闪参数。然后，通过比较显示术前和术后结果有统计学显著变化的研究数量与使用相同参数的研究总数，确定最常使用的频闪参数的“显著性百分比”。
结果
使用 Pareto 图提名了 7 个频闪参数。按引用频率降序排列，周期性、边缘弯曲、黏膜波、声门裂、声带位置、振幅和对称性的百分比分别为 87.5%、83.3%、77.7%、64.5%、60%、57.1%和 50%。选择了最频繁和最显著的频闪参数的五个相关量表。
结论
结果表明，周期性、边缘弯曲、黏膜波、声门裂和声带位置代表了 UVFP 评估中最常使用和相关的五个频闪参数。目前的综述概述了这些频闪参数的提议量表。
PROSPERO 注册号：CRD42019126786。
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