鼻窦疾病患者的喉肌紧张度：患病率及临床意义
Laryngeal muscle tension in patients with sinonasal diseases: prevalence and clinical significance.
作者信息
Hamdan Abdul-Latif, Hosri Jad, Yammine Yara, Abou Raji Feghali Patrick, El Hadi Nadine, Alam Elie
机构信息
Department of Otolaryngology and Head & Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
出版信息
J Laryngol Otol. 2024 Nov;138(11):1095-1099. doi: 10.1017/S0022215124000847. Epub 2024 May 14.
OBJECTIVE
To determine the prevalence of laryngeal muscle tension in patients with sinonasal diseases.
METHODS
The medical records and video-recordings of patients with a history of sinonasal disease were reviewed to identify one of four muscle tension patterns during phonation. A control group with no history of sinonasal diseases was matched according to age and gender.
RESULTS
Seventy-seven patients were divided into a study group ( = 47) and a control group ( = 30). In the study group, 29 patients had at least one muscle tension pattern compared with only 9 in the control group ( = 0.007). The most common muscle tension patterns observed in the study and control groups were muscle tension patterns II and III. In the study group, 79.3 per cent of patients with at least one muscle tension pattern reported dysphonia compared with only 33.3 per cent in the control group.
CONCLUSION
Patients with sinonasal diseases are more likely to exhibit laryngeal muscle tension and dysphonia in comparison with healthy subjects.
目的
确定鼻-鼻窦疾病患者喉肌紧张的患病率。
方法
回顾有鼻-鼻窦疾病病史患者的病历和视频记录，以识别发声时四种肌肉紧张模式中的一种。根据年龄和性别匹配无鼻-鼻窦疾病病史的对照组。
结果
77例患者分为研究组（n = 47）和对照组（n = 30）。研究组中，29例患者至少有一种肌肉紧张模式，而对照组仅有9例（P = 0.007）。研究组和对照组中观察到的最常见肌肉紧张模式是肌肉紧张模式II和III。研究组中，至少有一种肌肉紧张模式的患者中有79.3%报告有发音障碍，而对照组中这一比例仅为33.3%。
结论
与健康受试者相比，鼻-鼻窦疾病患者更有可能出现喉肌紧张和发音障碍。
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