喉疾病患者的杓状突内收不对称性

Babatunde Akinola Bamigboye, Moses Ayodele Akinola, Agboola Adebowale Ogunbiyi, Abayomi Oladapo Somefun
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摘要

杓状突不对称通常是视频咽喉喉镜检查中的偶然发现,很少有耳鼻喉科医生描述过杓状突不对称对喉部疾病患者的临床影响。本研究旨在记录杓状突内收不对称在接受视频咽喉喉镜检查的患者中的发生率,并确定杓状突内收不对称与声音嘶哑之间是否可能存在关联。这是一项回顾性描述性研究,涉及因各种适应症而接受视频咽喉喉镜检查的患者。研究人员对两家机构的耳鼻喉科门诊部在两年内的病历和视频咽喉喉镜检查结果进行了回顾性分析,包括年龄、性别、职业、主诉、视频咽喉喉镜检查结果和诊断的适应症。杓状软骨内收不对称的定义与齿状软骨、楔形软骨和杓会厌角的位置有关。数据中的所有变量均使用统计产品和服务解决方案(SPSS)25 版进行分析。在209名患者中,共有152名患者提供了所需的完整信息,其中男性59名,女性93名,年龄范围为20-91岁,平均年龄为(46±15.5)岁。内收不对称的总体发病率为 44.7%。杓状突不对称在五六十岁的人群中最为常见,在专业用嗓者中发病率最高(55%),男女比例为 1.6:1。声音嘶哑占所有视频咽喉镜检查适应症的40.1%,其中71%的声音嘶哑患者有原发性喉部病变,26%的患者有喉咽反流,3.3%的患者是由于青春期嗓音变化引起的。男性的杓状突不对称与声音嘶哑之间有明显的联系,P 值为 0.027,而男性的杓状突不对称与声音嘶哑之间有明显的联系,P 值为 0.026。杓状突内收不对称在因单侧原发性喉疾病而导致声音嘶哑的患者中普遍存在于五、六十年代。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Arytenoid adduction asymmetry among patients with laryngeal disorders
Arytenoid asymmetry is usually an incidental finding during video-pharyngo-laryngoscopic examinations, and few otolaryngologists have described the clinical implications of this among patient with laryngeal disorders. The aim of the study is to document the prevalence of arytenoid adduction asymmetry in patients who had video-pharyngo-laryngoscopy and determine if there is any possible association between arytenoid adduction asymmetry and hoarseness. This is a retrospective descriptive study involving patients who had video-pharyngo-laryngoscopic examinations for various indications. The medical charts and video-pharyngo-laryngoscopic examination findings recorded in the stored database in ENT outpatient departments of two institutions over a 2-year period were retrospectively reviewed for age, sex, occupation, presenting complaint, and indication for video-pharyngo-laryngoscopic findings and diagnosis. Arytenoid adduction asymmetry was defined in relation to the position of the corniculate cartilages, cuneiform cartilages, and aryepiglottic angle. All the variables in the data were analyzed using Statistical Product and Service Solution (SPSS) version 25. A total of 152 out of 209 patients had complete information needed for the review, 59 were males and 93 females with age range 20–91 years, and mean age was 46 ± 15.5 years. The overall prevalence rate for adduction asymmetry was 44.7%. Arytenoid asymmetry was seen commonest among the 5th and 6th decades of life and highest among the professional voice users (55%), while the male-to-female ratio was 1.6:1. Hoarseness constituted 40.1% of all indications for video-pharyngo-laryngoscopy, with 71% of patients with hoarseness having a primary laryngeal lesion, 26% had laryngopharyngeal reflux, and 3.3% were due to pubertal voice changes. A significant association was found between arytenoid asymmetry of the male gender P-value 0.027 and hoarseness P-value 0.026. Arytenoid adduction asymmetry is prevalent in the 5th and 6th decades of life, among patients with hoarseness resulting from unilateral primary laryngeal disorders.
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