声带小结的折衷嗓音治疗短期嗓音结果
Short-Term Voice Outcomes of Eclectic Voice Therapy for Vocal Nodules.
文献信息
| PMID | 42833899 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Ranjitha Kashyap Bannur Nanjundaswamy |
| 作者单位 | Department of Speech-Language Sciences, All India Institute of Speech and Hearing, Mysuru, Karnataka, India. |
| 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： 声带小结的治疗包括显微手术、嗓音治疗或联合治疗。研究报道了嗓音治疗对声带小结的益处；然而，针对声带小结的系统性嗓音治疗方法证据较少。因此，本研究旨在确立一种名为综合嗓音康复计划（CVHP）的系统性折衷嗓音治疗项目在声带小结治疗中修改后的短期结果。
方法： 15名年龄在20-55岁之间的声带小结患者接受了修改后的CVHP，共15次治疗，分布在3周内。在基线和治疗后进行了频闪喉镜检查，以追踪喉功能的变化。此外，在基线、治疗后和两次随访时获得了卡纳达语共识听觉感知嗓音评估（CAPE-V Kannada）、声学嗓音质量指数（AVQI）和卡纳达语嗓音疲劳指数（VFI-K），以报告嗓音治疗结果。使用相关样本Friedman双向秩方差分析和成对比较来记录嗓音结果的预-后和随访变化。
结果： 频闪喉镜检查结果显示，治疗后8名参与者的声带小结大小减小，7名参与者完全康复。此外，所有参与者的声带运动模式和对称性均有显著改善。感知评分和AVQI分数在治疗后和随访评估中下降，表明随时间推移发音困难严重程度降低。此外，VFI-K分数的显著下降表明参与者自我感知的嗓音疲劳相关症状得到缓解。
结论： 本研究通过记录嗓音相关结果指标的显著变化，报告了折衷嗓音治疗对声带小结的短期结果。
英文摘要
OBJECTIVES: The treatment of vocal nodules includes microsurgery, voice therapy, or a combination. Research studies have reported the benefits of voice therapy in vocal nodules; however, there is less evidence on systematic voice therapy approaches specific to vocal nodules. Hence, the current study aims to establish the short-term outcome of a systematic Eclectic Voice Therapy Program named Comprehensive Voice Habilitation Program (CVHP), modified in the treatment of vocal nodules.
METHOD: Fifteen individuals with vocal nodules in the age range of 20-55 years received the modified CVHP for 15 sessions spread across 3 weeks. A stroboscopy examination was performed at the baseline and posttherapy to track the changes in laryngeal functions. Further, Consensus Auditory Perceptual Evaluation of Voice in Kannada (CAPE-V Kannada), Acoustic Voice Quality Index (AVQI), and Voice Fatigue Index in Kannada (VFI-K) were obtained at the baseline, posttherapy, and two follow-ups to report the voice therapy outcomes. Related- samples Friedman's Two-way Analysis of Variance by Ranks and pairwise comparisons were made to note the pre-post and follow-up changes in voice outcomes.
RESULTS: Stroboscopy findings revealed a reduction in the size of the vocal nodules in 8 participants and complete recovery from vocal nodules in 7 participants, posttherapy. Also, there was a significant improvement in movement patterns and symmetry of the vocal folds in all the participants. Perceptual ratings and AVQI scores decreased in posttherapy and follow-up evaluations, indicating a decrease in dysphonia severity over time. In addition, a significant decrement in VFI-K scores indicated the alleviation of self-perceived vocal fatigue-related symptoms in the participants.
CONCLUSION: The current study reported the short-term outcome of Eclectic voice therapy in vocal nodules by documenting significant changes in the voice-related outcome measures.