Voice therapy and vocal nodules in adults
Voice therapy and vocal nodules in adults
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DOI：
10.1097/moo.0b013e3283317fd2
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发表时间：
2009-12-01
影响因子：
1.6
通讯作者：
Leonard, Rebecca
中科院分区：
文献类型：
--
作者：
Leonard, Rebecca
目的reviewThis审查认为最近和重要的信息有关的声音治疗声带nodules.Recent findingsAvailable证据表明，声音治疗针对过度，功能亢进和适应不良的声乐实践可以有效地提高声音质量和减少大小/程度的病理。然而，也有越来越多的文献表明，行为方法可能不足以永久治愈某些患者的组织变化，无论是否符合治疗目标，由于声带覆盖的持久结构损伤。这一证据强调需要早期识别和教育的个人在风险为nodules.SummaryThe声带小结和过度，phonotraumatic声音使用之间的关系是公认的。声音治疗通常包括关于声带力学和病因学因素的教育，以及对导致，加剧或导致不适当的声音产生的特定声音练习的修改。治疗可以有效地改善语音质量和组织健康，但不一定导致病理的完全解决。它应该始终被视为声带小结患者治疗方案的一部分。
Purpose of reviewThis review considers recent and significant information pertinent to voice therapy for vocal nodules.Recent findingsAvailable evidence suggests that voice therapy directed to excessive, hyperfunctional and maladaptive vocal practices can be effective in improving voice quality and reducing size/extent of pathology. However, there is also a growing literature suggesting that behavioral approaches may not be sufficient to permanently heal tissue changes in some patients, regardless of compliance with treatment aims, due to lasting structural damage in the vocal fold cover. This evidence underscores the need for early identification and education in individuals at risk for nodules.SummaryThe relationship between vocal nodules and excessive, phonotraumatic voice use is well established. Voice therapy typically consists of education regarding vocal fold mechanics and etiological factors, as well as modification of specific vocal practices that either cause, exacerbate or result from inappropriate voice production. Therapy can be effective in improving voice quality and tissue health but does not necessarily result in complete resolution of pathology. It should always be considered as a part of the treatment regimen for patients with vocal nodules.