Voice Telerehabilitation in Iatrogenic Unilateral Vocal Fold Paralysis: From Necessity to Opportunity in the COVID-19 Time

IF 2.5 4区医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY

Journal of Voice Pub Date : 2024-11-01 DOI:10.1016/j.jvoice.2022.04.005

Giorgia Mari , Maria Raffaella Marchese , Ylenia Longobardi , Ilaria Proietti , Maria Elisabetta Marenda , Tiziana Di Cesare , Lucia D'Alatri

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引用次数: 0

Abstract

Objective

To evaluate results of telerehabilitation (TR) during the coronavirus disease 2019 pandemic for the treatment of dysphonia caused by permanent post-thyroidectomy unilateral vocal fold paralysis (UVFP).

Methods

Forty subjects with post-thyroidectomy UVFP (onset <1 month) underwent TR. Videostrobolaryngoscopy, acoustic and perceptual voice analysis and patient self-assessment were carried out in person before, at the end of TR and 6 months later.

Results

Twenty-five subjects spontaneously recovered full vocal fold motility at some time during follow-up, whereas 15 had a permanent UVFP at the end of the follow-up period. These subjects constituted our study group. At the early posttherapy control 10/15 subjects (66.6%) showed a complete glottal closure, while in 5/15 (33.3%) a glottal gap remained (P = 0.03). These results did not change 6 months after TR. At the late posttherapy control the maximum phonation time improved significantly (P = 0.02). Both post-therapy Voice Handicap Index scores were significantly lower than the pre-therapy ones (P = 0.04). Grade, Breathiness, and Asthenia parameters of the Grade–Roughness–Breathiness–Asthenia–Strain scale improved 6 months after TR (P < 0.05). The number of voice signals suitable for acoustic analysis increased significantly after therapy. Finally, 87% of patients were satisfied with TR.

Conclusions

With careful patient selection, TR may be considered as a promising method for voice therapy in postthyroidectomy UVFP.

查看原文本刊更多论文

先天性单侧声带瘫痪的远程嗓音康复治疗：COVID-19 时间从必要到机遇。

目的评估 2019 年冠状病毒疾病大流行期间远程康复（TR）治疗甲状腺切除术后永久性单侧声带麻痹（UVFP）引起的发音障碍的效果：方法：40 名甲状腺切除术后单侧声带麻痹的受试者（发病结果：25 名受试者自发恢复完全发音：结果：25 名受试者在随访期间自发恢复了完全的声带运动能力，而 15 名受试者在随访期结束时出现了永久性单侧声带麻痹。这些受试者构成了我们的研究小组。在治疗后的早期对照中，10/15 名受试者（66.6%）的声门完全闭合，而 5/15 名受试者（33.3%）的声门间隙仍然存在（P = 0.03）。这些结果在 TR 6 个月后没有变化。在治疗后期对照组中，最大发音时间有了显著改善（P = 0.02）。治疗后的嗓音障碍指数得分均明显低于治疗前（P = 0.04）。治疗 6 个月后，"等级-粗糙度-呼吸-气喘-应变 "量表中的 "等级"、"呼吸 "和 "气喘 "参数均有所改善（P < 0.05）。治疗后，适合声学分析的语音信号数量明显增加。最后，87% 的患者对 TR 表示满意：通过对患者的精心挑选，TR 可被视为甲状腺切除术后 UVFP 患者进行嗓音治疗的一种有前途的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Voice 医学-耳鼻喉科学

CiteScore

4.00

自引率

13.60%

发文量

395

审稿时长

59 days

期刊介绍： The Journal of Voice is widely regarded as the world''s premiere journal for voice medicine and research. This peer-reviewed publication is listed in Index Medicus and is indexed by the Institute for Scientific Information. The journal contains articles written by experts throughout the world on all topics in voice sciences, voice medicine and surgery, and speech-language pathologists'' management of voice-related problems. The journal includes clinical articles, clinical research, and laboratory research. Members of the Foundation receive the journal as a benefit of membership.