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专业嗓音使用者行鼻整形术对嗓音的潜在影响。

Potential Effects of Rhinoplasty on Voice in Professional Voice Users.

机构信息

Sinus and Surgical Endoscopic Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.

Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Aesthetic Plast Surg. 2021 Oct;45(5):2280-2286. doi: 10.1007/s00266-021-02250-2. Epub 2021 Apr 19.

Abstract

BACKGROUND AND AIM

Surgical procedures involving the manipulation of the airway structure have the potential to affect the quality of voice by changing the resonance properties. Regarding this, the present study was conducted to investigate the effect of rhinoplasty on the voice of professional voice users.

METHODS AND MATERIALS

This cohort study was conducted on 30 professional voice users. For the purpose of the study, the patients completed the Voice Handicap Index (VHI). In addition, they were subjected to voice analysis that included the measurement of nasality in speech production (i.e., nasalance), using the nasometer II. Computerized speech lab was also utilized to examine vowels /e/ and /a/, each of which was sustained for 5 sec by the participants.

RESULTS

The mean VHI scores were 8.5 ± 1.98 and 7.36 ± 1.71 before and after the surgery, respectively, indicating no significant difference between the two investigated stages (Z = - 0.53, P = 0.59). However, there was a significant difference between the patients with and without preoperative obstruction in terms of the VHI score (χ= 11.06, P = 0.004). With regard to orality, it had the mean values of 16.86 ± 7.45 and 15.22 ± 7.37 before and after the surgery, respectively. Furthermore, the mean values of nasality at the pre- and post-operation stages were 59.42 ± 6.04 and 56.28 ± 10.07, respectively. The comparison between the pre- and post-surgical orality and nasality revealed no significant difference (t = 1.226, P = 0.23 and t = 0.93, P = 0.36, respectively).

CONCLUSION

Although rhinoplasty is supposed to affect voice and vocal resonation, the induced changes are not problematic for the professional voice users.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景与目的

涉及气道结构操作的外科手术可能通过改变共鸣特性而影响嗓音质量。关于这一点,本研究旨在调查鼻整形术对专业嗓音使用者嗓音的影响。

方法与材料

本队列研究纳入了 30 名专业嗓音使用者。为了进行研究,患者完成了嗓音障碍指数(VHI)。此外,他们接受了嗓音分析,包括言语产生时鼻音的测量(即鼻共鸣值),使用 II 型鼻音计。还利用计算机语音实验室检查参与者持续 5 秒的/e/和/a/元音。

结果

手术前和手术后的平均 VHI 评分为 8.5±1.98 和 7.36±1.71,表明两个研究阶段之间无显著差异(Z=-0.53,P=0.59)。然而,在 VHI 评分方面,术前存在阻塞的患者与无阻塞的患者之间存在显著差异(χ=11.06,P=0.004)。至于口度,手术前和手术后的平均值分别为 16.86±7.45 和 15.22±7.37。此外,术前和术后鼻音的平均值分别为 59.42±6.04 和 56.28±10.07。术前和术后口度和鼻音的比较无显著差异(t=1.226,P=0.23 和 t=0.93,P=0.36)。

结论

尽管鼻整形术可能会影响嗓音和嗓音共鸣,但所引起的变化对专业嗓音使用者来说并无问题。

证据等级 IV:本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述,请参考目录或在线作者指南 www.springer.com/00266

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