Crevier-Buchman L, Laccourreye O, Wuyts F L, Monfrais-Pfauwadel M C, Pillot C, Brasnu D
Department of Otorhinolaryngology, Head & Neck Surgery, Laënnec Hospital, Assistance Publique des Hôpitaux de Paris, University Paris V, France.
Acta Otolaryngol. 1998 Jul;118(4):594-9. doi: 10.1080/00016489850154784.
The present prospective study, based on a series of 12 male patients managed with supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL-CHEP), was designed i) to compare the perceptual and acoustic parameters before surgery and at 6 months after sugery, ii) to evaluate the evolution of the perceptual and acoustic parameters between 6 and 18 months postoperatively, and iii) to determine the correlations between the perceptual and acoustic parameters preoperatively and at 18 months postoperatively. The roughness was found to be significantly worsened after SCPL-CHEP. The jitter, shimmer, noise-to-harmonic ratio, and degree of voiceless increased significantly after SCPL-CHEP. Neither acoustic nor perceptual parameters varied significantly between 6 and 18 months postoperatively. Preoperatively, a strong statistical correlation was found between grade, roughness and strain and all acoustic parameters but F0. Breathiness was statistically correlated with all acoustic parameters but jitter. Postoperatively the only statistical correlation noted was between roughness and F0.
本前瞻性研究基于12例接受环状软骨上部分喉切除术联合环状软骨舌骨会厌固定术(SCPL-CHEP)治疗的男性患者,旨在:i)比较手术前和术后6个月的感知和声学参数;ii)评估术后6至18个月感知和声学参数的变化;iii)确定术前和术后18个月感知和声学参数之间的相关性。结果发现,SCPL-CHEP术后粗糙度显著恶化。SCPL-CHEP术后抖动、闪烁、噪声谐波比和清音程度均显著增加。术后6至18个月,声学参数和感知参数均无显著变化。术前,除F0外,等级、粗糙度和应变与所有声学参数之间均存在强统计学相关性。呼吸音与除抖动外的所有声学参数均存在统计学相关性。术后唯一观察到的统计学相关性是粗糙度与F0之间的相关性。