Arantes Mariah de Souza, Almeida Amanda Sampaio, Constantini Ana Carolina, Prata Luciahelena, Pazinatto Debora Bressan, Oliveira Ana Paula de Morais E, Maunsell Rebecca
Department of Otorhinolaryngology, Faculty of Medical Sciences, University of Campinas, Campinas, Brazil.
Department of Human Development and Rehabilitation, Faculty of Medical Sciences, University of Campinas, Campinas, Brazil.
OTO Open. 2022 May 29;6(2):2473974X221103558. doi: 10.1177/2473974X221103558. eCollection 2022 Apr-Jun.
This review aims to describe the methods used to assess the vocal quality and quality of life of children after airway reconstruction and their limitations.
A systematic review was carried out in 10 databases for articles published between 2000 and 2021 following the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses).
Articles were included that described perceptual voice assessment with or without acoustic measures and/or voice quality impact questionnaires. Articles with no description of a specific voice assessment were excluded.
A total of 12 studies were included, yielding 263 patients. The mean age at evaluation was 9 years. Follow-up varied from 5 months to 20 years with most patients being evaluated at least a year after surgery. Methods used to evaluate voice were perceptual, aerodynamic, and acoustic analysis and quality of life questionnaires. CAPE-V (Consensus Auditory Perceptual Evaluation-Voice) was the most used auditory-perceptual instrument (72.7%). Of the acoustic parameters, fundamental frequency and maximum phonation time were the most described (58.3%), and among the quality of life assessment questionnaires, pVHI (Pediatric Voice Handicap Index) was the most used (54.5%).
Multidimensional evaluations tailored to the individual child can be recommended after open airway surgery. CAPE-V scale, fundamental frequency, maximum phonation time, and pVHI are the most frequently used methods; therefore, their use may help broaden communication among authors. In the multitude of methods available, cognitive ability and degree of voice disturbance should be considered since they are the most important limiting factors in this population.
本综述旨在描述评估气道重建术后儿童嗓音质量和生活质量的方法及其局限性。
按照PRISMA指南（系统评价和Meta分析的首选报告项目），在10个数据库中对2000年至2021年发表的文章进行了系统评价。
纳入描述了有无声学测量的感知嗓音评估和/或嗓音质量影响问卷的文章。未描述具体嗓音评估的文章被排除。
共纳入12项研究，涉及263例患者。评估时的平均年龄为9岁。随访时间从5个月到20年不等，大多数患者在术后至少1年接受评估。用于评估嗓音的方法有感知分析、空气动力学分析、声学分析和生活质量问卷。CAPE-V（嗓音共识听觉感知评估）是使用最多的听觉感知工具（72.7%）。在声学参数中，基频和最长发声时间被描述得最多（58.3%），在生活质量评估问卷中，pVHI（儿童嗓音障碍指数）是使用最多的（54.5%）。
对于开放性气道手术后的儿童，推荐进行针对个体的多维评估。CAPE-V量表、基频、最长发声时间和pVHI是最常用的方法；因此，使用这些方法可能有助于扩大作者之间的交流。在众多可用方法中，应考虑认知能力和嗓音障碍程度，因为它们是该人群中最重要的限制因素。
