Wang Xi, Cheng Chao, Liu Dabo, Chen Yanhong, Guan Xin
Department of Pediatric Otolaryngology Shenzhen Hospital，Southern Medical University，Shenzhen，518000，China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2023 May;37(5):350-353. doi: 10.13201/j.issn.2096-7993.2023.05.006.
To determine the effectiveness of individualized voice therapy in persistent pediatric voice disorders. Thirty-eight children who were admitted to the Department of Pediatric Otolaryngology Shenzhen Hospital, Southern Medical University due to persistent voice disorder from November 2021 to October 2022 were included. All children were evaluated by dynamic laryngoscopy before voice therapy. Two voice doctors performed GRBAS score and acoustic analysis on the children's voice samples to obtain the relevant parameters including F0, Jitter, Shimmer, and MPT; All children were given personalized voice therapy for 8 weeks. Among 38 children with voice disorders, 75.8%（29 cases） were diagnosed with vocal nodules, 20.6%（8 cases） were vocal polyps, and 3.4%（1 case） were vocal cysts. And in all children. And 51.7%（20 cases） had the sign of supraglottic extrusion under dynamic laryngoscopy. GRBAS scores decreased from 1.93 ± 0.62, 1.82 ± 0.55, 0.98 ± 0.54, 0.65 ± 0.48, 1.05 ± 0.52 to 0.62 ± 0.60, 0.58 ± 0.53, 0.32 ± 0.40, 0.22 ± 0.36, 0.37 ± 0.36. F0, Jitter, Shimmer decreased from（243.11±39.73） Hz, （0.85±0.99）%, （9.96±3.78）% to（225.43±43.20） Hz, （0.33±0.57）%, （7.72±4.32）%, respectively MPT was prolonged from（5.82±2.30） s to（7.87±3.21） s after treatment. All parameters changes had statistical significance. Voice therapy can solve children's voice problems, improve their voice quality and effectively treat children's voice disorders.
确定个体化嗓音治疗对持续性小儿嗓音障碍的有效性。纳入2021年11月至2022年10月因持续性嗓音障碍入住南方医科大学深圳医院小儿耳鼻咽喉科的38例患儿。所有患儿在嗓音治疗前均接受动态喉镜检查评估。两名嗓音医生对患儿的嗓音样本进行GRBAS评分和声学分析，以获得包括基频（F0）、抖动、闪烁和最大发声时间（MPT）等相关参数；所有患儿均接受个性化嗓音治疗8周。在38例嗓音障碍患儿中，75.8%（29例）诊断为声带小结，20.6%（8例）为声带息肉，3.4%（1例）为声带囊肿。并且在所有患儿中。动态喉镜检查发现51.7%（20例）有声门上挤压征。GRBAS评分从1.93±0.62、1.82±0.55、0.98±0.54、0.65±0.48、1.05±0.52降至0.62±0.60、0.58±0.53、0.32±0.40、0.22±0.36、0.37±0.36。F0、抖动、闪烁分别从（243.11±39.73）Hz、（0.85±0.99）%、（9.96±3.78）%降至（225.43±43.20）Hz、（0.33±0.57）%、（7.72±4.32）%，治疗后MPT从（5.82±2.30）s延长至（7.87±3.21）s。所有参数变化均有统计学意义。嗓音治疗可以解决儿童的嗓音问题，改善其嗓音质量并有效治疗儿童嗓音障碍。
