扁桃体、腺样体切除术对语音及嗓音影响研究进展  

Research progress of adenotonsillectomy on speech and voice

作　　者：马志强 宋惠芸 于海玲[2] MA Zhiqiang;SONG Huiyun;YU Hailing(School of Clinical Medicine,Weifang Medical University,Weifang 261053,Shandong,China;Department of Otorhinolaryngology&Head and Neck Surgery,Women and Children's Hospital,Qingdao University,Qingdao 266034,Shandong,China)

机构地区：[1]潍坊医学院临床医学院,山东潍坊261053 [2]青岛大学附属妇女儿童医院耳鼻咽喉头颈外科,山东青岛266034

出　　处：《山东大学耳鼻喉眼学报》2023年第1期120-123,131,共5页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：扁桃体、腺样体肥大是临床上最常见的疾病之一,儿童期多表现为腺体增生与肥大,成人期多表现为炎性改变。扁桃体、腺样体切除术作为扁桃体、腺样体肥大常规治疗手段,二者切除后人体鼻腔、咽腔及喉腔的声道形状发生改变,导致患者讲话时气流改变,进而使语音及各类嗓音参数值变化。目前,随着二者肥大发病率和检出率的增高,作为其最主要的治疗手段,扁桃体、腺样体切除术对语音及嗓音影响评估的临床指导意义亦与日俱增。现就扁桃体、腺样体切除术对语音及嗓音影响的机制进行综述。Tonsillar hypertrophy and adenoid hypertrophy are among the most common clinical disorders, usually presenting with glandular hyperplasia and hypertrophy in childhood, and inflammatory changes in adulthood. Routine treatments for tonsillar and adenoidal hypertrophy include tonsillectomy and adenoidectomy, wherein the tonsil and adenoid are resected to modify the shape of the vocal tract in the nasal, pharyngeal, and laryngeal cavities. This will lead to a change in airflow upon speaking, and subsequently, changes in speech and values of voice parameters. At present, with the increasing prevalence and detection rates of tonsillar and adenoidal hypertrophy, the clinical guidance of the assessment of the effects of tonsillectomy and adenoidectomy on speech and voice is also increasing, especially since these methods are the primary treatments. Therefore, the review of the mechanisms of tonsillectomy and adenoidectomy on speech and voice is important.

关 键 词：扁桃体切除术 腺样体切除术 语音 嗓音 多维嗓音分析 

分 类 号：R767.92[医药卫生—耳鼻咽喉科]