腭前成形术和功能性扩张括约肌咽成形术对阻塞性睡眠呼吸暂停患者语音质量的影响

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

Journal of Voice Pub Date : 2025-05-01 DOI:10.1016/j.jvoice.2022.11.032

Ayşe Karaoğullarından, Sanem Okşan Erkan

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引用次数: 0

摘要

目的：我们旨在研究前腭部成形术（AP）和功能性扩张括约肌咽成形术（FESP）对OSAS患者嗓音质量的影响，并对两者进行比较：该研究纳入了2020年4月至2022年4月期间因打鼾和睡眠呼吸暂停症状到我院耳鼻喉科门诊就诊，并转诊至睡眠实验室进行多导睡眠图（PSG）检查的380例患者。所有手术均由同一耳鼻喉科医生在全身麻醉下进行，最迟在睡眠内窥镜检查后一个月内完成。术前和术后6个月，使用Praat嗓音分析程序进行嗓音分析。术前和术后对各组的 F0、抖动、颤动和 NHR（噪音-谐波比）进行了比较：AP 组有 20 名女性和 20 名男性，FESP 组有 12 名女性和 14 名男性，两组性别分布差异无统计学意义（P = 0.952）。AP 组和 FESP 组术前和术后的 F0、抖动、闪烁和 NHR 差异均有统计学意义（P < 0.01）。AP 和 FESP 手术后，F0 值增加，抖动、闪烁和 NHR 值减少（P < 0.01）。FESP 组的 F0、抖动、闪烁和 NHR 变化最大（P < 0.01）：结论：FESP 组在 F0、抖动、颤动和 NHR 方面的积极变化最大。与 AP 手术相比，FESP 手术对 OSAS 患者嗓音质量的影响更大。

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The Effects of Anterior Palatoplasty and Functional Expansion Sphincter Pharyngoplasty on Voice Quality in Patients with Obstructive Sleep Apnea

Objectives

We aimed to examine the effects of anterior palatoplasty (AP) and functional expansion sphincter pharyngoplasty (FESP) on voice quality in patients with OSAS and to compare them with each other.

Merhods

The study included 380 patients who came to the Otorhinolaryngology Clinic of our hospital with symptoms of snoring and sleep apnea between April 2020 and April 2022 and were referred to the sleep laboratory for polysomnography (PSG).Forty patients who met the study criteria and underwent AP and 26 patients who underwent FESP were included in the study. All surgeries were performed under general anesthesia by the same otolaryngologist within 1 month at the latest after sleep endoscopy. Acoustic voice analysis was performed using the Praat voice analysis program preoperatively and postoperatively at 6 months. F0, jitter, shimmer, and NHR (noise-to-harmonic ratio) were compared between the groups pre and postoperatively.

Results

There were 20 females and 20 males in the AP group, 12 females and 14 males in the FESP group, There was no statistically significant difference in sex distribution between the groups (P = 0.952). The difference between the preop and postop F0, jitter, shimmer, and NHR in both the AP and FESP groups was statistically significant (P < 0.01). After AP and FESP surgeries, F0 values increased, jitter, shimmer and NHR values decreased (P < 0.01).F0, jitter, shimmer, and NHR changes were the greatest in the FESP group.(P < 0.01).

Conclusion

Positive changes in F0, jitter, shimmer, and NHR were greatest in the FESP group significantly. FESP surgery affects voice quality more than AP surgery in patients with OSAS.

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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.