Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, PA.
Department of Otolaryngology, Vanderbilt University Medical Center, Nashville, TN.
J Speech Lang Hear Res. 2021 Feb 17;64(2):481-490. doi: 10.1044/2020_JSLHR-20-00344. Epub 2021 Feb 1.
Purpose The purpose of this study is to familiarize speech-language-pathologists with the current state of the science regarding medialization laryngoplasty in the treatment of voice disorders, with emphasis on current evidence-based practice, voice outcomes, and future directions for research. Method A literature review was performed in PubMed and Embase using the keywords and or . Articles published between 2010 and 2020 were reviewed for data about clinical applications, technical approach, voice-related outcomes, and basic science or clinical innovations with the potential to improve patient care. A synthesis of data was performed from articles meeting the outlined search criteria. Conclusions As key members in the multidisciplinary care of voice disorders, speech-language pathologists need to be informed of current research in medialization laryngoplasty, a procedure commonly used for patients with glottic insufficiency. Advances in anesthetic technique, office-based procedures, and the development of materials with increased bio-tolerability over the past decade have led to innovations in treatment and improved patient outcomes. Recent applications of computational and bioengineering approaches have the potential to provide new directions in the refinement of currently available techniques and the improvement of patient-based treatment outcomes.
目的 本研究旨在使言语语言病理学家熟悉当前关于嗓音障碍治疗中声门上成形术的科学现状,重点介绍当前基于证据的实践、嗓音结果以及未来的研究方向。
方法 在 PubMed 和 Embase 中使用 和 或 关键词进行文献回顾。回顾了 2010 年至 2020 年期间发表的关于临床应用、技术方法、与嗓音相关的结果以及具有改善患者护理潜力的基础科学或临床创新的文章的数据。从符合既定搜索标准的文章中综合数据。
结论 作为嗓音障碍多学科治疗的重要成员,言语语言病理学家需要了解声门上成形术的当前研究情况,这是一种常用于声门不全患者的手术。在过去十年中,麻醉技术、门诊手术以及生物相容性材料的发展方面的进展,导致了治疗方法的创新和患者预后的改善。计算和生物工程方法的最新应用有可能为现有技术的改进和基于患者的治疗结果的改善提供新的方向。