Sulkus vokalis tedavisinde tiroplastinin yeri

Amaç: Bu çalışmada sulkus vokalisin düzeltilmesiiçin tiroplasti ameliyatı yapılan hastalarda ameliyatsonrası objektif ve subjektif ses değerlendirme sonuçları incelendi.Hastalar ve Yöntemler: Çalışmaya sulkus vokalisnedeniyle tiroplasti ameliyatı yapılan altı hasta alındı. Sesdeğerlendirmeleri ameliyattan bir hafta önce ve iki aysonra yapıldı. Hastaların hiçbirine ameliyat sonrasıdönemde ses değerlendirmeleri öncesinde ses terapisi uygulanmadı. Ortalama takip süresi 14.8 aydı.Bulgular: Ameliyat öncesi ile karşılaştırıldığında,VHI voice handicap index skorlarında anlamlıdeğişiklik görüldü p=0.002 . Disfoni şiddet indeksiskoru ise, ameliyat öncesine göre anlamlı farklılıkgöstermedi p=0.810 .Sonuç: Bu çalışmada hastaların seslerinde objektifdüzelmeden ziyade subjektif düzelme olduğu görüldü.Bulgularımız, ses hastalarının değerlendirilmesindebaşarının sadece objektif ölçütlere dayandırılamayacağını, aynı zamanda subjektif ölçütlerin de göz önünealınması gerektiğini göstermektedir

Anahtar Kelimeler:

Tiroit kartilaj/cerrahi, konuşma akustiği, vokal kord/patoloji/cerrahi, ses hastalıkları/cerrahi

The role of thyroplasty in the management of sulcus vocalis

Objectives: The results of objective and subjective evaluation of postoperative vocal function were assessed in patients treated with thyroplasty for the correction of sulcus vocalis. Patients and Methods: Six patients 5 males, 1 female; mean age 26 years; range 18 to 34 years underwent thyroplasty for sulcus vocalis. Voice evaluations were performed one week before and two months after surgery. None of the patients had voice therapy before evaluations in the postoperative period. The mean follow-up period was 14.8 months. Results: Compared to the preoperative values, postoperative voice handicap index scores were significantly different p=0.002 . However, the difference between the dysphonia severity index DSI scores were not significant p=0.810 . Conclusion: A subjective rather than an objective improvement was observed in voice. Our results suggest that, in the evaluation of voice patients, therapeutic success should not be based only on objective criteria, but subjective criteria should also be considered.

Keywords:

Thyroid cartilage/surgery, speech acoustics, vocal cords/pathology/surgery, voice disorders/surgery,

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