The Effects of Phonosurgery Combined with Voice Therapy for Vocal Polyps Accompanied with Muscle Tension Dysphonia
10.3969/j.issn.1006-7299.2015.06.005
- VernacularTitle:手术联合嗓音训练对伴肌紧张性发声障碍声带息肉患者的疗效分析
- Author:
Xiaowei GAO
;
Yongwang HUANG
;
Liyan LIU
;
Chao LI
;
Juntao NIU
;
Dehui FU
;
Jie OUYANG
- Publication Type:Journal Article
- Keywords:
M uscle tension dysphonia;
Vocal polyp;
Voice therapy;
Phonosurgery
- From:
Journal of Audiology and Speech Pathology
2015;(6):585-587,588
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of phonosurgery combined with voice therapy in patients with vocal polyps accompanied with muscle tension dysphonia (MTD) .Methods The study retrospectively enrolled 117 patients with a diagnosis of vocal polyps accompanied with MTD .All the patients were divided into two groups ac‐cording to the different remedies:the surgery group (n=57) ,and the combination group (n=60) .The Xion acous‐tic analysis was carried out on the two groups before and after therapy .We compared the results in each group ,the results of post-therapy between two groups ,and that of post-therapy with the control group(n=50) .The acous‐tic parameters were jitter percent (jitter) ,shimmer percent (shimmer) ,dysphonia severity index (DSI) .Results The results obtained in the study showed that all the voice analysis parameters were significantly improved after therapy in both the surgery group and combination group(P<0 .05) .Jitter and shimmer in post -therapeutic out‐come of the combination group were lower than those of in surgery group ,and DSI was even higher(P<0 .05) .Jit‐ter and shimmer in post-therapeutic outcome of surgery group were higher than those of in normal group ,and DSI was lower than those of in normal group(P<0 .05) .But there were no clinically significant differences in post -therapeutic outcomes of combination group compared with control group(P>0 .05) .Conclusion As for vocal polyps accompanied with M TD ,successful phonosurgical treatment and voice therapy can improve patients’ voice quality .
