Perceptual voice analysis of patients with subglottic stenosis
Perceptual voice analysis of patients with subglottic stenosis
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DOI：
10.1016/j.otohns.2006.06.1249
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发表时间：
2006-11-01
影响因子：
3.4
通讯作者：
Merati, Albert L.
中科院分区：
文献类型：
--
作者：
Ettema, Sandra L.;Tolejano, Carol Jorgensen;Merati, Albert L.
目的：表征声门下狭窄（SGS）患者声音质量的感知评估，并确定发声困难的危险因素。研究设计和背景：回顾性审查，学术中心。方法：使用GRBAS量表（等级、粗糙度、呼吸、无力、紧张）进行声音感知评估；确定 31 个 SGS 病例的患者特征。 结果：SGS 患者初次就诊时的平均 GRBAS（0 至 3 级，0 = 正常质量）为 G(1.4)R(1.2)B(0.5) A(0.5)S(1.1)。对于男性与女性：G(2.1 vs 1.1)R(2.0 vs 0.8)B(1.0 vs 0.4)A(1.0 vs 0.3)S(1.7 vs 0.9)。多节段狭窄患者的分级（P < 0.03）、呼吸（P < 0.04）和无力（P < 0.02）评估明显更加困难；声带运动障碍 (VFMI) 也影响总体成绩 (P < 0.01)。接受过气道手术的患者的总体等级 (P < 0.002)、粗糙度 (P < 0.007) 和呼吸感 (P < 0.006) 明显较差。结论：SGS 患者的声音感知特征出现轻度至中度变化，该系列中男性比女性受影响更严重。负面危险因素包括多处狭窄、VFMI 和既往气道手术史。意义：这是第一份关于声门下狭窄的感知声音评估的系统报告。 SGS 患者有明显程度的发声困难，并具有可识别的危险因素。 (C) 2006 年美国耳鼻喉科学会-头颈外科基金会。版权所有。
OBJECTIVES: To characterize the perceptual assessment of vocal quality in subglottic stenosis (SGS) patients and to identify risk factors for dysphonia.STUDY DESIGN AND SETTING: Retrospective review, academic center.METHODS: Perceptual voice assessment using GRBAS scale (Grade, Roughness, Breathiness, Asthenia, Strain); patient characteristics determined for 31 SGS cases.RESULTS: The mean GRBAS (0 to 3 scale, 0 = normal quality) for SGS patients at their initial visit was G(1.4)R(1.2)B(0.5) A(0.5)S(1.1). For males vs females: G(2.1 vs 1.1)R(2.0 vs 0.8)B(1.0 vs 0.4)A(1.0 vs 0.3)S(1.7 vs 0.9). The Grade (P < 0.03), Breathiness (P < 0.04), and Asthenia (P < 0.02) assessments were significantly more dysphonic in patients with multilevel stenosis; vocal fold motion impairment (VFMI) also impacted overall Grade (P < 0.01). Overall Grade (P < 0.002), Roughness (P < 0.007), and Breathiness (P < 0.006) were significantly worse in patients with prior airway surgery.CONCLUSION: SGS patients demonstrate a mild to moderate change in perceptual voice characteristics with males in this series being more affected than females. Negative risk factors include multiple stenoses, VFMI, and previous airway surgery.SIGNIFICANCE: This is the first systematic report of perceptual voice assessment in subglottic stenosis. SGS patients have notable degrees of dysphonia with identifiable risk factors. (C) 2006 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.