Romanenko S G, Pavlikhin O G, Kurbanova D I, Lesogorova E V, Eliseev O V, Safyannikova E A, Krasilnikova E N
Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Vestn Otorinolaringol. 2025;90(3):30-34. doi: 10.17116/otorino20259003130.
To increase the effectiveness of voice restoration in patients with benign organic laryngeal pathology and functional dysphonia after endolaryngeal interventions.
360 patients who underwent surgery for benign organic pathology of the vocal folds were examined. The examination was performed using videolaryngoscopy, videolaryngostroboscopy, computer acoustic analysis of the voice, and a subjective assessment of vocal function by a doctor on the N. Yanagihara scale.
In 58 patients in the postoperative period, after the relief of inflammatory phenomena, the voice did not recover, due to the pathological type of phonation: nodular, hypotonic or hypertonic. Voice restoration measures were carried out: phonotherapy for patients of the 1st group, phonotherapy and biofeedback therapy sessions for patients of the 2nd group. According to subjective and objective assessments, biofeedback therapy significantly accelerated voice recovery in patients with hypertonic phonation. Biofeedback therapy had no significant effect on the restoration of vocal function in patients with nodular and hypotonic phonation.
In cases where the voice does not fully recover after endolaryngeal interventions, additional therapeutic measures are required: phonotherapy and biofeedback therapy.
提高喉内干预后良性器质性喉部病变及功能性发声障碍患者的嗓音恢复效果。
对360例因声带良性器质性病变接受手术的患者进行检查。检查采用电子喉镜检查、电子频闪喉镜检查、嗓音计算机声学分析以及医生依据柳原信夫量表对嗓音功能进行主观评估。
术后58例患者在炎症现象缓解后，由于发声病理类型（结节性、张力减退或张力亢进），嗓音未恢复。实施了嗓音恢复措施：对第一组患者进行发声治疗，对第二组患者进行发声治疗和生物反馈治疗。根据主观和客观评估，生物反馈治疗显著加速了张力亢进发声患者的嗓音恢复。生物反馈治疗对结节性和张力减退发声患者的嗓音功能恢复无显著影响。
在内喉干预后嗓音未完全恢复的情况下，需要采取额外的治疗措施：发声治疗和生物反馈治疗。
