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鼻中隔成形术和鼻甲切除术术后的喉部变化

Laryngeal Changes After Septoplasty and Turbinectomy.

作者信息

Mandour Yasser Mohammed Hassan, El Hamshary Ashraf, Abdel-Elhay Salwa A, Abdel-Hamid Mostafa S, Gomaa Mostafa

机构信息

Faculty of Medicine, Benha University, Benha, Egypt.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3242-3247. doi: 10.1007/s12070-023-03951-7. Epub 2023 Jun 18.

Abstract

Studies found only a little amount of evidence about the impact of septoplasty on the mechanism of voice production, as well as vocal cord and laryngeal mucosal changes. Nasal obstruction is a common medical issue that is linked to changes in the quality of resonance of voice. To assess patients with deviated nasal septum and inferior turbinate hypertrophy's voice alterations using laryngeal stroboscope before and after septoplasty and turbinectomy. In this prospective case-control study, patients in group A had inferior turbinate hypertrophy and a nasal septal deviation, while participants in group B were healthy controls who were matched for age and gender. All of the included patients had their laryngeal stroboscope and acoustic voice characteristics evaluated both preoperatively and three months after surgery. Only the baseline evaluation of healthy controls was done. We included 30 patients with mean age 24.43 ± 7.81 years, and males accounted for two thirds of the included cases, speech testing showed that Amplitude perturbation significantly improved post septoplasty with values < 0.05, while Fundamental frequency and NHR parameters didn't show statistically significant improvement compared to preoperative measurements and control groups. Paired comparison of laryngeal erythema, mucosal edema and mucosal waves showed significant improvement compared to preoperative laryngeal stroboscopic findings with values < 0.001 each. Significant improvements were made to septal deviation following surgery nasal obstruction caused by nasal septal deviation and inferior turbinate hypertrophy is associated with amplitude perturbation, laryngeal erythema, mucosal edema, and mucosal waves in the patients.

摘要

研究发现,关于鼻中隔成形术对发声机制以及声带和喉黏膜变化的影响,仅有少量证据。鼻塞是一个常见的医学问题,与声音共鸣质量的变化有关。目的是在鼻中隔成形术和鼻甲切除术前后,使用喉动态镜评估鼻中隔偏曲和下鼻甲肥大患者的声音改变。在这项前瞻性病例对照研究中,A组患者患有下鼻甲肥大和鼻中隔偏曲,而B组参与者是年龄和性别匹配的健康对照。所有纳入的患者在术前和术后三个月均接受了喉动态镜和声学语音特征评估。仅对健康对照进行了基线评估。我们纳入了30例平均年龄为24.43±7.81岁的患者,其中男性占纳入病例的三分之二,语音测试显示,鼻中隔成形术后振幅微扰显著改善,P值<0.05,而基频和NHR参数与术前测量值和对照组相比,未显示出统计学上的显著改善。与术前喉动态镜检查结果相比,喉红斑、黏膜水肿和黏膜波的配对比较显示有显著改善,P值均<0.001。手术后鼻中隔偏曲有显著改善,鼻中隔偏曲和下鼻甲肥大引起的鼻塞与患者的振幅微扰、喉红斑、黏膜水肿和黏膜波有关。

相似文献

1
Laryngeal Changes After Septoplasty and Turbinectomy.鼻中隔成形术和鼻甲切除术术后的喉部变化
Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3242-3247. doi: 10.1007/s12070-023-03951-7. Epub 2023 Jun 18.

本文引用的文献

1
Changes in Voice After Septoplasty: A Pilot Study.鼻中隔成形术后嗓音变化:一项初步研究。
Indian J Otolaryngol Head Neck Surg. 2022 Oct;74(Suppl 2):1831-1835. doi: 10.1007/s12070-020-01860-7. Epub 2020 Apr 20.
4
Predictive factors of patients' general quality of life after nasal septoplasty.鼻中隔成形术后患者总体生活质量的预测因素。
Eur Arch Otorhinolaryngol. 2019 Feb;276(2):429-438. doi: 10.1007/s00405-018-5229-4. Epub 2018 Dec 3.
5
Nasal airway obstruction: Prevalence and anatomic contributors.鼻气道阻塞:患病率及解剖学因素
Ear Nose Throat J. 2018 Jun;97(6):173-176. doi: 10.1177/014556131809700615.
6
Techniques in Septoplasty: Traditional Versus Endoscopic Approaches.鼻中隔成形术技术:传统方法与内镜方法
Otolaryngol Clin North Am. 2018 Oct;51(5):909-917. doi: 10.1016/j.otc.2018.05.007. Epub 2018 Jul 17.
9
Septoplasty: Basic and Advanced Techniques.鼻中隔成形术:基础与进阶技术。
Facial Plast Surg Clin North Am. 2017 May;25(2):161-169. doi: 10.1016/j.fsc.2016.12.002. Epub 2017 Feb 21.
10
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J Acoust Soc Am. 2016 Oct;140(4):2614. doi: 10.1121/1.4964509.

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