Maximum and Minimum Phonatory Glottal Area before and after Treatment for Vocal Nodules.
Maximum and Minimum Phonatory Glottal Area before and after Treatment for Vocal Nodules.
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DOI：
10.3390/healthcare8030326
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发表时间：
2020-09-07
期刊：
影响因子：
--
通讯作者：
Tsai MS
中科院分区：
文献类型：
--
作者：
Hsu CM;Yang MY;Fang TJ;Wu CY;Tsai YT;Chang GH;Tsai MS
背景：声带小结（VFN）是耳鼻喉科医师面临的一个挑战。声门区（GA）波形分析是一种用于评价声带振动和功能的检查方法。然而，很少有人研究VFN患者的GA。本研究使用现代波形分析结合ImageJ软件和视频频闪镜检查研究了VFN患者的最大和最小GA。方法：42例VFN患者，其中15例接受语音治疗，27例接受手术治疗。记录治疗前后的声学参数和最大发声时间（MPT），并完成汉语语音障碍指数-10（VHI-C10）。在视频频闪镜检查后，使用ImageJ软件计算最大和最小GA。分析VFN患者手术或语音治疗前后的GAs。结果：嗓音治疗或手术前后MPT无明显变化。语音治疗后VHI-C10评分降低，但降低不显著（14.0 ± 8.44 vs. 9.40 ± 10.24，p = 0.222）;手术后VHI-C10评分显著降低（22.53 ± 7.17 vs. 12.75 ± 9.84，p = 0.038）。语音治疗显著增加了最大GA（5.58 ± 2.41 vs. 8.65 ± 3.17，p = 0.012），非显著降低了最小GA（0.60 ± 0.73 vs. 0.21 ± 0.46，p = 0.098）。手术非显著性增加了最大GA（6.34 ± 3.82 vs. 8.73 ± 5.57，p = 0.118），并显著降低了最小GA（0.30 ± 0.59 vs. 0.00 ± 0.00，p = 0.036）。结论：本研究调查了接受语音治疗或手术的VFN患者的GA。研究结果表明，语音治疗显着增加最大GA和手术显着降低最小GA。GA分析可以应用于评估语音治疗的效果，它可以帮助医生为VFN患者制定精确的治疗方法（通过优化语音治疗或直接进行手术）。
Background: Vocal fold nodules (VFNs) are a challenge for otolaryngologists. Glottal area (GA) waveform analysis is an examination method used for assessing vocal fold vibration and function. However, GA in patients with VFNs has rarely been studied. This study investigated the maximum and minimum GA in VFN patients using modern waveform analysis combining ImageJ software and videostroboscopy. Methods: This study enrolled 42 patients newly diagnosed with VFN, 15 of whom received voice therapy and 27 of whom underwent surgery. Acoustic parameters and maximum phonation time (MPT) were recorded, and patients completed the Chinese Voice Handicap Index-10 (VHI-C10) before and after treatment. After videostroboscopy examination, the maximum and minimum GAs were calculated using ImageJ software. The GAs of patients with VFNs before and after surgery or voice therapy were analyzed. Results: The MPTs of the patients before and after voice therapy or surgery did not change significantly. VHI-C10 scores decreased after voice therapy but the decrease was nonsignificant (14.0 ± 8.44 vs. 9.40 ± 10.24, p = 0.222); VHI-C10 scores were significantly decreased after surgery (22.53 ± 7.17 vs. 12.75 ± 9.84, p = 0.038). Voice therapy significantly increased the maximum GA (5.58 ± 2.41 vs. 8.65 ± 3.17, p = 0.012) and nonsignificantly decreased the minimum GA (0.60 ± 0.73 vs. 0.21 ± 0.46, p = 0.098). Surgery nonsignificantly increased the maximum GA (6.34 ± 3.82 vs. 8.73 ± 5.57, p = 0.118) and significantly decreased the minimum GA (0.30 ± 0.59 vs. 0.00 ± 0.00, p = 0.036). Conclusion: This study investigated the GA of patients with VFNs who received voice therapy or surgery. The findings indicated that voice therapy significantly increased maximum GA and surgery significantly decreased minimum GA. GA analysis could be applied to evaluate the efficacy of voice therapy, and it may help physicians to develop precise treatment for VFN patients (either by optimizing voice therapy or by performing surgery directly).
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影响因子：
4.6
作者：
Tsai MS;Yang MY;Chang GH;Tsai YT;Lin MH;Hsu CM
通讯作者：
Hsu CM
DOI：
10.1044/jshr.1804.728
发表时间：
1975-01-01
期刊：
JOURNAL OF SPEECH AND HEARING RESEARCH
影响因子：
--
作者：
HARDEN, RJ
通讯作者：
HARDEN, RJ
DOI：
10.1097/moo.0b013e3283317fd2
发表时间：
2009-12-01
影响因子：
1.6
作者：
Leonard, Rebecca
通讯作者：
Leonard, Rebecca
DOI：
10.1590/s0034-72992005000500007
发表时间：
2005-10-01
期刊：
Revista Brasileira de Otorrinolaringologia
影响因子：
--
作者：
Wertzner, Haydée F.;Schreiber, Solange;Amaro, Luciana
通讯作者：
Amaro, Luciana
影响因子：
1.4
作者：
Noordzij, JP;Woo, P
通讯作者：
Woo, P