Kayir Selcuk, Dogan Guvenc, Atan Dogan
Anesthesiology, Hitit University, Erol Olcok Training and Research Hospital, Corum, TUR.
Otorhinolaryngology, Lokman Hekim Ankara Hospital, Ankara, TUR.
Cureus. 2019 Oct 4;11(10):e5835. doi: 10.7759/cureus.5835.
Objective Changes in voice performance in the postoperative period due to trauma suffered during endotracheal intubation or edema occurring in the postoperative period are often observed. The present study aimed to evaluate the effects of different types of intubation tube applications on voice performance in the early postoperative period using objective and subjective voice analysis methods. Materials and Methods A total of 88 patients who underwent endotracheal intubation either using a cuffed endotracheal ( = 44) or spiral-embedded cuffed endotracheal ( = 44) tube were included in this study. An endotracheal tube of 7.5 mm was used for female patients and that of 8 mm was used for male patients. Preoperative acoustic voice analysis was performed, and fundamental frequency (F0), jitter%, and shimmer% values were recorded. In addition, the voice handicap index-30 (VHI-30) questionnaire was completed by the patients for subjective evaluation. The same procedure was repeated in the first 48 hours postoperatively. The preoperative and postoperative data were statistically compared. In addition, the effect of the type of endotracheal intubation tube on acoustic voice analysis parameters and VHI-30 scores was statistically evaluated. Results In the early postoperative period, a significant decrease in the F0 value and a significant increase in jitter% and shimmer% values were detected. The VHI-30 score was also found to be significantly higher in the early postoperative period than in the preoperative period. The effects of both the intubation tubes on voice performance were found to be similar. Conclusion Objective and subjective evaluations revealed that voice performance was declined in the early postoperative period after orotracheal intubation.
目的 气管内插管过程中遭受的创伤或术后出现的水肿常导致术后嗓音表现发生改变。本研究旨在采用客观和主观嗓音分析方法，评估不同类型气管插管应用对术后早期嗓音表现的影响。材料与方法 本研究共纳入88例接受气管内插管的患者，其中44例使用带套囊气管插管，44例使用螺旋嵌入带套囊气管插管。女性患者使用7.5 mm的气管插管，男性患者使用8 mm的气管插管。术前进行嗓音声学分析，记录基频（F0）、抖动率（jitter%）和闪烁率（shimmer%）值。此外，患者完成嗓音障碍指数-30（VHI-30）问卷进行主观评估。术后48小时内重复相同程序。对术前和术后数据进行统计学比较。此外，对气管插管类型对嗓音声学分析参数和VHI-30评分的影响进行统计学评估。结果 术后早期，检测到F0值显著降低，jitter%和shimmer%值显著升高。还发现术后早期VHI-30评分显著高于术前。发现两种插管对嗓音表现的影响相似。结论 客观和主观评估均显示，经口气管插管术后早期嗓音表现下降。
