Majidi Mohammad Reza, Asghari Masoud, Abbaszadeh Enciye, Saberi Demneh Amir, Hejrati Sohaila
Sinus and Surgical Endoscopic Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Otorhinolaryngology, Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran.
Iran J Otorhinolaryngol. 2019 Jul;31(105):197-202.
Rhinosinus polyposis is associated with voice quality reduction. There has been little evidence about the efficacy of rhinosinus polyps surgery on patients' voice quality so far. The aim of the present study was to evaluate the nasality and acoustic voice changes after rhinosinus polyposis surgery.
The population in this study composed of 30 eligible patients with rhinosinusitis and rhinosinus polyposiss. The functional endoscopic sinus surgery (FESS) was the therapeutic intervention. Acoustic voice parameters were jitter (%), shimmer (db), noise to harmonic ratio (NHR), and fundamental frequency (F0) for the vowels [a, o, e, aa, ie, and ou]. For nasality evaluation, the articulation of vowel [a] was examined using nasometer device. The changes regarding the patients' voice were evaluated one day before and one month after the surgery.
The mean age of the participants was 41.2±14.3 years. Considering gender distribution, 20 (66.7%) subjects were men. After the operation, the nasality increased significantly from 40.8% to 74.3% (P<0.001). In addition, the findings revealed the increase of shimmer and F0 (P>0.05). On the other hand, jitter and NHR changes were insignificant.
The findings of the current study showed that hyponasality decreased a month after the treatment of rhinosinus polyposis with FESS. However, the acoustic quality of voice had no significant changes after the surgery.
鼻-鼻窦炎伴鼻息肉与嗓音质量下降有关。迄今为止，几乎没有证据表明鼻息肉手术对患者嗓音质量的疗效。本研究的目的是评估鼻-鼻窦炎伴鼻息肉手术后鼻音和嗓音声学变化。
本研究纳入了30例符合条件的鼻窦炎伴鼻息肉患者。治疗干预措施为功能性鼻内镜鼻窦手术（FESS）。嗓音声学参数包括元音[a、o、e、aa、ie和ou]的抖动（%）、闪烁（dB）、噪声谐波比（NHR）和基频（F0）。对于鼻音评估，使用鼻音计设备检查元音[a]的清晰度。在手术前一天和手术后一个月评估患者嗓音的变化。
参与者的平均年龄为41.2±14.3岁。考虑性别分布，20名（66.7%）受试者为男性。手术后，鼻音从40.8%显著增加到74.3%（P<0.001）。此外，结果显示闪烁和F0增加（P>0.05）。另一方面，抖动和NHR变化不显著。
本研究结果表明，采用FESS治疗鼻-鼻窦炎伴鼻息肉一个月后，鼻通气不足情况有所改善。然而，手术后嗓音声学质量没有显著变化。
