Multidimensional voice evaluation in pretreatment glottic carcinoma
Multidimensional voice evaluation in pretreatment glottic carcinoma
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DOI：
10.1159/000084137
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发表时间：
2005-01-01
影响因子：
1
通讯作者：
Komiyama, S
中科院分区：
文献类型：
--
作者：
Matsubara, N;Umezaki, T;Komiyama, S
人们普遍认为，在声门癌中，声音会恶化，即使在早期阶段也是如此。本文报告声门型喉癌患者声嘶程度及多维度发声评价。本文对47例声门型喉癌患者和13例正常人进行了治疗前心理声学评估、声学分析、表音图、最大发声时间和频闪检查。T1和T2声门癌患者中，35%的患者通过心理声学评估发现声音正常或轻度嘶哑。心理声学性发声障碍患者的声学分析得分高，表音图面积小，最大发声时间短。频闪镜检查显示，在所有情况下，肿瘤侧的粘膜波衰减或消失，无论声学分析数据是在正常范围内或超出正常范围。我们发现声门型喉癌患者有两个条件可提供上级发声：（1）病变应是单侧的，（2）病变应是平坦的，没有突出。声门型喉癌患者在活检前不仅要进行声带检查，而且要进行频闪喉镜检查。
It is generally accepted that, in glottic carcinoma, the voice will deteriorate, even in the early stages. This paper reports the degree of hoarseness and multidimensional vocal evaluation of glottic carcinoma patients. Forty-seven male glottic carcinoma patients and a control group of 13 normal subjects were included in this study involving psychoacoustic evaluation by doctors, acoustic analysis, phonogram, maximum phonation time and stroboscopy before treatment. A normal voice or mild hoarseness by psychoacoustic evaluation was found in 35% of cases with T1 and T2 glottic carcinoma. Patients with psychoacoustically inferior vocalization had high scores on acoustic analysis, small phonogram areas, and short maximum phonation time. Stroboscopy revealed attenuation or disappearance of the mucosal wave on the tumor side in all cases, whether the acoustic analysis data were within or beyond the normal limits. We identified two conditions offering superior vocalization in glottic carcinoma patients: ( 1) the lesion should be unilateral, and ( 2) the lesion should be flat with no protrusion. We should evaluate patients with glottic carcinoma not only with vocal examination but also using stroboscopy before biopsy.