双侧声带褶皱显微缝合术对改善声门前网患者嗓音质量的影响：回顾性观察研究

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

Journal of Voice Pub Date : 2025-03-01 DOI:10.1016/j.jvoice.2022.08.016

Zhang-Wei Hu , Lin Chen , Ren-Qiang Ma , Jie Deng , Wei-Ping Wen , Wen-Bin Lei

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引用次数: 0

摘要

目的：本研究旨在介绍一种双侧声带粘膜瓣与显微外科缝合术相结合的改良术式，用于声门前网的治疗，并研究其在降低复发率和改善嗓音质量方面的疗效：我们回顾性研究了2014年5月至2021年4月在我院接受二氧化碳激光切口加或不加显微外科缝合手术治疗的102例声门前蹼患者。我们重点研究了再手术率和基于 30 项嗓音障碍指数的嗓音效果：本研究共纳入102例声门前蹼患者，102例患者中有97例（95.1%）是由乳头状瘤切除术和内镜下喉癌切除术引起的，较少见的原因是感染和外伤。所有切口都是在显微镜下使用二氧化碳激光和自留喉镜沿中线进行的；37 名患者（36.3%）进行了显微手术缝合，65 名患者（63.7%）没有进行显微手术缝合。与非显微缝合组相比，显微缝合组的再手术率更低（χ2= 7.069，P=0.0078），语音质量更高（t=2.054，P=0.0462）：我们采用的改良手术既能降低声门前蹼患者的复发率，又能改善其声音质量。因此，这种双侧声带粘膜瓣和显微外科缝合术的联合疗法值得临床应用和推广。

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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Effect of Bilateral Vocal Fold Microsuturing on Voice Quality Improvement in Patients With Anterior Glottic Webs: A Retrospective Observational Study

Purpose

This study was performed to introduce a modified procedure involving a combination of bilateral vocal fold mucosal flaps and microsurgical sutures for the management of anterior glottic webs and to study its efficacy in decreasing the recurrence rate and improving voice quality.

Methods

We retrospectively reviewed 102 patients with anterior glottic webs who underwent surgical treatment by a carbon dioxide laser incision with or without microsurgical suturing in our hospital from May 2014 to April 2021. We focused on the reoperation rate and the voice outcomes based on the 30-item Voice Handicap Index.

Results

This study included 102 patients with anterior glottic webs, which were caused by papilloma excision and endoscopic laryngocarcinoma resection in 97 (95.1%) of the 102 patients; less common causes were infection and traumatic injury. All incisions were performed along the midline with a carbon dioxide laser under microscopy and a self-retaining laryngoscope; 37 (36.3%) patients underwent microsurgical suturing and 65 (63.7%) patients did not. The microsuture group had a lower reoperation rate (χ² = 7.069, P = 0.0078) and higher voice quality (t = 2.054, P = 0.0462) than the non-microsuture group.

Conclusions

We introduced a modified procedure that can both decrease the recurrence rate and improve the voice quality in patients with anterior glottic webs. Hence, this combination therapy involving bilateral vocal fold mucosal flaps and microsurgical sutures is worthy of clinical application and promotion.

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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.