Aerodynamic measures of glottal function: what extra can they tell us and how do they guide management?
Aerodynamic measures of glottal function: what extra can they tell us and how do they guide management?
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DOI：
10.1097/moo.0000000000000107
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发表时间：
2014-12
影响因子：
1.6
通讯作者：
Maytag AL
中科院分区：
文献类型：
--
作者：
Jiang JJ;Maytag AL
本文将从最近的循证文献中定义喉空气动力学研究的主要进展。最近发表的研究集中在空气动力学参数的新应用，以改善患者的诊断和结果，以及进一步阐明发声的机制，使用计算建模和切除喉。虽然有大量的研究，以改善诊断和治疗的声音障碍，使用空气动力学，大多数最近的文献缺乏任何结论性的证据，新的方法用于临床，在这些需要进一步的研究。目前正在研究水中共鸣管发声和半封闭式语音治疗的最佳实践，以及声门气流与声带相互作用产生发声的确切机制。建议临床医生根据气流下降和每音节肺容积扩张来评估帕金森病患者，以避免依赖于声学信号。此外，喉部疾病和结构建模的进展将有助于未来的治疗和诊断研究。现在基础已经奠定，关键是开始在患者群体中评估这些技术。
This article will define the major advances in laryngeal aerodynamics research from recent evidence-based literature. Recently published research focuses on new applications of aerodynamic parameters to improve patient diagnosis and outcomes, as well as further elucidating the mechanisms of phonation using computational modeling and excised larynges. Although there is an extensive amount of research on improving the diagnosis and treatment of voice disorders using aerodynamics, the majority of recent literature lacks any conclusive evidence on new methods for use in the clinic; further research in these is needed. The best practices for resonance tube phonation in water and semi-occluded voice therapy are being investigated, as is the exact mechanism by which glottal airflow interacts with vocal folds to produce phonation. It is recommended that clinicians evaluate patients with Parkinson’s disease on the basis of airflow declination and lung volume expended per syllable to avoid dependence on an acoustic signal. In addition, advances in modeling laryngeal disorders and structures will contribute to future research into treatments and diagnosis. Now that the groundwork has been laid, it is crucial to begin evaluating such techniques in patient populations.