绝对与相对嗓音休息在良性声带病变术后处理中的作用。
Role of absolute versus relative voice rest in post-operative management of benign vocal fold lesions.
机构信息
Department of ENT, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
出版信息
J Laryngol Otol. 2024 Oct;138(10):1018-1023. doi: 10.1017/S0022215124000835. Epub 2024 Apr 30.
OBJECTIVE
Most otolaryngologists advocate absolute voice rest after laryngeal surgery, which proves difficult for patients, so we decided to evaluate the role of absolute voice rest versus relative voice rest in the post-operative management of benign lesions.
METHODS
Forty patients were recruited and divided in two groups: absolute voice rest and relative voice rest. Pre- and post-operative voice analysis (fundamental frequency, jitter, shimmer, voice handicap index, voice-related quality-of-life scale scores and compliance) were noted at one week and one month.
RESULTS
Voice analysis parameters including jitter ( = 0.035), shimmer ( = 0.020), voice handicap index ( < 0.001) and compliance ( < 0.001) were better in the relative voice-rest group. Frequency, number of voice breaks and voice-related quality of life showed no statistically significant results.
CONCLUSION
There was no significant benefit of absolute voice rest on post-operative outcomes as determined by acoustic variables. Compliance and quality-of-life scores were low in the strict voice-rest group. Therefore, we should reconsider post-surgical voice-rest protocol.
目的
大多数耳鼻喉科医生主张在喉手术后进行绝对的声带休息，但这对患者来说很难做到，因此我们决定评估绝对声带休息与相对声带休息在良性病变术后管理中的作用。
方法
招募了 40 名患者，并将其分为两组：绝对声带休息组和相对声带休息组。在术后一周和一个月时记录术前和术后的嗓音分析（基频、抖动、声颤、嗓音障碍指数、嗓音相关生活质量量表评分和依从性）。
结果
相对声带休息组的嗓音分析参数，包括抖动（ = 0.035）、声颤（ = 0.020）、嗓音障碍指数（ < 0.001）和依从性（ < 0.001）均有改善。频率、嗓音中断次数和嗓音相关生活质量没有显示出统计学上的显著差异。
结论
在术后嗓音评估的声学变量方面，绝对声带休息并没有显著的益处。严格的声带休息组的依从性和生活质量评分较低。因此，我们应该重新考虑术后声带休息方案。
Zotero 插件