Article record

正畸治疗患者舌骨位置与自评嗓音障碍的相关性研究

Correlation between Hyoid Bone Position and Self-perceived Voice Handicap in Patients Undergoing Orthodontic Treatment.

临床研究咽喉科IF 2.4Q1

文献信息

PMID	42754440
原文	在 PubMed 查看原文 ↗
发表日期	2026
作者	Abdul-Latif Hamdan 查看其他 9 位作者 Nijad Zeineddine；Lana Ghzayel；Lea Azzi；Ghena Lababidi；Valerie Sarkis；Lynn Abdel Malak；Rita Jreige；Christelle Jabbour；Anthony T Macari
作者单位	Department of Otolaryngology-Head and Neck Surgery, American University of Beirut Medical Center, Beirut, Lebanon. 查看其他 3 条单位信息 Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut, Beirut, Lebanon.；Faculty of Medicine, American University of Beirut, Beirut, Lebanon.；Division of Orthodontics and Dentofacial Orthopedics, American University of Beirut, Beirut, Lebanon. Electronic address: am43@aub.edu.lb.
期刊	Journal of voice : official journal of the Voice Foundation
SCI 分区	Q1
IF	2.4
研究类型	临床研究 · 临床
所属专科	咽喉科

中文摘要

目的： 探讨在非发声障碍患者队列中，舌骨位置与自评嗓音障碍及嗓音疲劳之间的相关性。
研究设计： 回顾性病历审查。
方法： 在获得机构审查委员会批准（BIO-2025-0307）后，对272例患者进行了回顾性头影测量研究。头影测量指标包括：舌骨至蝶鞍的垂直距离（Hy-S）、舌骨至后鼻棘的垂直距离（Hy-PNS）、舌骨至第三颈椎最前点的直线距离（Hy-C3）、舌骨至下颌平面的垂直距离（Hy-MP），以及舌骨至颏下点的直线距离（Hy-Me）。本研究的主要结局指标包括嗓音障碍指数-10（VHI-10）、嗓音疲劳指数（VFI）和嗓音相关生活质量（V-RQOL）问卷。
结果： 本研究共纳入272例患者，其中女性179例，男性93例。研究组的平均年龄为31.04 ± 12.44岁。Hy-S、Hy-PNS和Hy-Me的平均值分别为104.06 ± 20.81 mm、61.93 ± 7.69 mm和43.78 ± 6.21。Hy-C3的平均值为34.41 ± 4.37 mm。Hy-MP的平均值为15.73 ± 5.78 mm。VHI-10的平均得分为1.64 ± 3.15。V-RQOL的平均得分为98.25 ± 5.45，VFI的平均得分为2.40 ± 6.69。任何嗓音结局指标与舌骨测量值之间均无统计学显著相关性。线性回归分析显示，Hy-C3与VHI-10（β = 0.211，P = 0.003）及V-RQOL得分（β = -0.155，P = 0.030）之间存在显著的独立弱相关。
结论： 在非发声障碍患者中，舌骨位置与嗓音相关的临床意义有限。

英文摘要

OBJECTIVE: To investigate the correlation between the position of the hyoid bone and self-perceived voice handicap and fatigue in a cohort of non-dysphonic patients.
STUDY DESIGN: Retrospective chart review.
METHODOLOGY: After having obtained Institutional Review Board approval (BIO-2025-0307), a retrospective cephalometric study was conducted on 272 patients. Cephalometric measures included: the vertical distance from the hyoid bone to the sella turcica (Hy-S), the vertical distance from the hyoid bone to the posterior nasal spine (Hy-PNS), the linear distance from the hyoid bone to the most anterior point of the third cervical vertebra (Hy-C3), the vertical distance from the hyoid bone to the mandibular plane (Hy-MP), and the linear distance from the hyoid bone to menton (Hy-Me). The main outcome measures of the study included the Voice Handicap Index-10 (VHI-10), the Voice Fatigue Index (VFI), and the Voice-Related Quality of Life (V-RQOL) questionnaire.
RESULTS: A total of 272 patients, 179 females and 93 males, were included in this study. The mean age of the study group was 31.04 ± 12.44 years. The mean (Hy-S), (Hy-PNS) and (Hy-Me) was 104.06 ± 20.81 mm, 61.93 ± 7.69 mm, and 43.78 ± 6.21, respectively. The mean (Hy-C3) was 34.41 ± 4.37 mm. The mean (Hy-MP) was 15.73 ± 5.78 mm. The mean VHI-10 score was 1.64 ± 3.15. The mean V-RQOL score was 98.25 ± 5.45, and the mean VFI score was 2.40 ± 6.69. There were no statistically significant correlations between any of the voice outcome measures and hyoid bone measurements. Linear regression analysis showed a significant independent, weak association between Hy-C3, the VHI-10 (β = 0.211, P = 0.003) and V-RQOL scores β = -0.155, P = 0.030).
CONCLUSION: The position of the hyoid bone carries limited clinical significance in relation to voice in non-dysphonic patients.