Article record

声带手术后嗓音恢复的短时程与长时程禁声：随机对照试验的系统评价与荟萃分析

Short Duration vs Long Duration Voice Rest for Vocal Recovery Post-Phonosurgery: A Systematic Review and Meta-Analysis of randomized controlled trials.

综述 Meta咽喉科IF 2.4Q1

文献信息

PMID	42731972
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Bilal Salman 查看其他 10 位作者 Daniel Mhanna；Wissam Abou Ali；Sandra Kiwan；Vivian Faour；Hilda E Ghadieh；Jihane Soueid；Feten Fekih-Romdhane；Souheil Hallit；Sami Azar；Frederic Harb
作者单位	Department of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, Tripoli, Lebanon. 查看其他 4 条单位信息 Department of Anatomy, Cell biology and Physiological sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.；The Tunisian Center of Early Intervention in Psychosis, Department of Psychiatry "Ibn Omrane", Razi hospital, Manouba 2010 Tunisia; Tunis El Manar University, Faculty of Medicine of Tunis, Tunis, Tunisia.；School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon; Applied Science Research Center, Applied Science Private University, Amman, Jordan.；Department of Biomedical Sciences, Faculty of Medicine and Medical Sciences, University of Balamand, Tripoli, Lebanon. Electronic address: Frederic.Harb@balamand.edu.lb.
期刊	Journal of voice : official journal of the Voice Foundation
SCI 分区	Q1
IF	2.4
研究类型	综述 Meta · 临床
所属专科	咽喉科

中文摘要

背景： 声带手术后常规建议术后禁声以优化声带愈合；然而，理想的禁声时长仍存在争议。本系统评价与荟萃分析评估了声带手术后短时程禁声是否能提供与长时程禁声相当的嗓音恢复结局。
目的： 评估短时程禁声在改善声带手术后嗓音结局方面是否与长时程禁声同样有效。
方法： 对随机对照试验进行了系统评价与荟萃分析。检索了PubMed、Ovid、CINAHL、ClinicalTrials.gov和Cochrane Library，纳入比较接受声带手术患者短时程与长时程禁声的研究。采用随机效应模型汇总嗓音结局。
结果： 共纳入6项随机对照试验，涉及186名参与者。总体而言，在所有嗓音结局方面，包括VHI、MPT、GRBAS、HNR、shimmer和jitter，短时程与长时程禁声之间均未观察到显著差异。
结论： 就声带手术后的术后嗓音恢复而言，短时程禁声似乎与长时程禁声相当。这些发现提示，延长发声限制时间可能不会提供额外获益。
注册： 本研究已在PROSPERO注册（CRD420261331360）。

英文摘要

BACKGROUND: Postoperative voice rest is routinely prescribed after phonosurgery to optimize vocal fold healing; however, the ideal duration remains controversial. This systematic review and meta-analysis evaluated whether short-duration voice rest provides comparable vocal recovery outcomes to prolonged voice rest following phonosurgery.
PURPOSE: To evaluate whether short-duration voice rest is as effective as long-duration voice rest in improving voice outcomes following phonosurgery.
METHODS: A systematic review and meta-analysis of randomized controlled trials was conducted. PubMed, Ovid, CINAHL, ClinicalTrials.gov, and the Cochrane Library were searched, and studies comparing short- vs. long-duration voice rest in patients who have undergone phonosurgery were included. Voice outcomes were pooled using a random-effects model.
RESULTS: A total of six randomized controlled trials involving 186 participants were included. Overall, no significant difference between short- and long-duration voice rest was observed for all vocal outcomes, including VHI, MPT, GRBAS, HNR, shimmer, and jitter.
CONCLUSION: Short-duration voice rest appears to be comparable to prolonged voice rest in terms of postoperative voice recovery following phonosurgery. These findings suggest that extended periods of vocal restriction may not provide additional benefit.
REGISTRATION: This study was registered on PROSPERO (CRD420261331360).