TREATMENT OF SULCUS VOCALIS - AUDITORY PERCEPTUAL AND ACOUSTICAL ANALYSIS OF THE SLICING MUCOSA SURGICAL TECHNIQUE

被引：39

作者：

PONTES, P ^{[1
]}

BEHLAU, M ^{[1
]}

机构：

[1] ESCOLA PAULISTA MED,DIV HEAD & NECK SURG,SAO PAULO,SP,BRAZIL

来源：

JOURNAL OF VOICE | 1993年 / 7卷 / 04期

关键词：

SULCUS VOCALIS; DYSPHONIA; VOCAL REHABILITATION; PHONOSURGERY; MINOR LARYNGEAL ALTERATIONS;

D O I：

10.1016/S0892-1997(05)80260-7

中图分类号：

R36 [病理学]; R76 [耳鼻咽喉科学];

学科分类号：

100104 ; 100213 ;

摘要：

Sulcus vocalis is a furrow in the mucosa of the vocal folds that causes glottic insufficiency, irregular vibrations, and a distinctive dysphonia of variable severity. Treatment of sulcus vocalis needs to achieve anatomical and functional improvements that satisfy the behavior of the larynx and vocal quality. We suggest a combined approach, which includes vocal fold mucosal surgery through a technique called slicing mucosa, followed by intensive vocal rehabilitation. The aim of the surgery is to detach the mucosa of the sulcus and to interrupt the longitudinal fibrotic tension lines. The results of this procedure in 10 patients were analyzed through visual, auditory, and acoustical methods, and the data lead us to conclude that the treatment proposed offered a good anatomical result, a better vibratory pattern, and an improvement in overall vocal quality.

引用

页码：365 / 376

页数：12

共 30 条

[1]

Giacomini C., Annotazioni sull'anatomia del negro, G Accad Med Torino, 40, pp. 17-61, (1892)

[2]

Kiml J., Trouble de la voix dans le sillon des cordes vocales, Folia Phoniatr (Basel), 14, pp. 279-289, (1962)

[3]

Hirano M., Phonosurgery: basic clinical investigations, Otologia (Fukuoka), 21, pp. 239-442, (1975)

[4]

Shin Y., Clinical and pathological investigations of sulcus vocalis, Otologia (Fukuoka), 22, pp. 819-835, (1976)

[5]

Sopko J., Kehlkoptveränderungen intolge tunktioneller Dysphonie, HNO, 31, pp. 335-342, (1983)

[6]

Arnold G.E., Dysplastic dysphonia: minor anomalies of the vocal cords causing persistent hoarseness, Laryngoscope, 68, pp. 142-158, (1958)

[7]

Lindestad P.A., Fritzell B., Schiratzki H., Sulcus glottidis. Stockholm: Karolinska Institutet, Department of Logopedics and Phoniatrics. Huddinge University Hospital, Phoniatr Logop Progr Rep, 4, pp. 30-43, (1985)

[8]

Croatto L., Accordi M., Oliva C., Galceran M., Borragan A., 77 sulcus delle corde vocali, pp. 108-114, (1988)

[9]

Rethi A., Stimmbandfullung in Fallen von nichtnarbenbedingten Glotispalten, Mon schr Ohreinheilkd, 88, pp. 295-300, (1954)

[10]

Ushijima T., Kase Y., Honda K., Niimi S., Hirose H., Effectiveness of intracordal injection for sulcus vocalis [Abstract], Folia Phoniatr (Basel), 38, (1986)

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