Roy N, Ford C N, Bless D M
Department of Otolaryngology-Head and Neck Surgery, University of Wisconsin-Madison, USA.
Ann Otol Rhinol Laryngol. 1996 Nov;105(11):851-6. doi: 10.1177/000348949610501102.
Excessive activity of the extralaryngeal muscles affects laryngeal function and contributes to a spectrum of interrelated symptoms and syndromes including muscle tension dysphonia and spasmodic dysphonia. Recognition of the role of extralaryngeal tension is helpful in ensuring proper diagnosis and selection of appropriate treatment. This report demonstrates the application of manual laryngeal musculoskeletal tension reduction techniques in the diagnosis and management of laryngeal hyperfunction syndromes. The manual technique consists of focal palpation to determine 1) extent of laryngeal elevation, 2) focal tenderness, 3) voice effect of applying downward pressure over the superior border of the thyroid lamina, and 4) extent of sustained voice improvement following circum-laryngeal massage. The clinical utility of this innovative approach is discussed.
喉外肌活动过度会影响喉部功能，并导致一系列相互关联的症状和综合征，包括肌肉紧张性发声障碍和痉挛性发声障碍。认识到喉外肌张力的作用有助于确保正确诊断并选择合适的治疗方法。本报告展示了手动喉部肌肉骨骼张力降低技术在喉部功能亢进综合征诊断和管理中的应用。该手动技术包括局部触诊，以确定：1）喉部抬高的程度；2）局部压痛；3）在甲状软骨上缘施加向下压力对声音的影响；4）环甲按摩后声音持续改善的程度。本文还讨论了这种创新方法的临床实用性。
