라인케 부종에서 후두미세수술 후의 음성 결과

김민송; 송창면; 김건호; 정선민; 지용배; 태경

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자료유형: 학술저널

저자정보: 김민송 (한양대학교 의과대학 이비인후-두경부외과학교실) 송창면 (한양대학교 의과대학 이비인후-두경부외과학교실) 김건호 (한양대학교 의과대학 이비인후-두경부외과학교실) 정선민 (한양대학교 의과대학 이비인후-두경부외과학교실) 지용배 (한양대학교 의과대학 이비인후-두경부외과학교실) 태경 (한양대학교 의과대학 이비인후-두경부외과학교실)

저널정보: 대한후두음성언어의학회 대한후두음성언어의학회지 대한후두음성언어의학회지 제28권 제2호

발행연도: 2017.1

수록면: 96 - 99 (4page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives : The management of Reinke's edema includes usually medical treatment and voice therapy. Laryngomicrosurgery (LMS) is also necessary, especially to improve airway obstruction. However, voice outcome after LMS has not been determined well. The aim of this study was to evaluate effectiveness of LMS for Reinke's edema and analyze the voice outcomes after LMS. Materials and Methods : Twenty-five patients with Reinke's edema who underwent LMS from September 2007 to December 2016 were enrolled in this study. We analyzed reflux finding score (RFS), reflux symptom index (RSI), and acoustic parameters before and after surgery. Results : Male was 15 (60%) and female was 10 (40%), and mean age was 49.6 years. Preoperative mean value of RFS decreased significantly up to 3 months after LMS ($18.3{\pm}2.2$ and $10.0{\pm}2.2$ at preoperative and 3 months postoperatively, respectively). The mean value of Jitter decreased significantly before and after surgery ($2.71{\pm}2.81%$ and $1.06{\pm}1.21%$ before and after LMS, p=0.041). The mean value of Shimmer also decreased significantly before and after surgery ($7.97{\pm}3.63%$ and $4.83{\pm}1.85%$, respectively, p=0.006). Conclusion : LMS is effective in the treatment of Reinke's edema. It results in favorable acoustic outcomes and laryngoscopic findings in properly selected patients.

#라인케 부종 #음향지표 #후두미세수술

참고문헌 (19)

참고문헌 신청

Thibeault SL / 2005 / Advances in our understanding of the Reinke space / Curr Opin Otolaryngol Head Neck Surg 13(3):148~151

임재열 / 2005 / 라인케 부종의 임상적 및 음성학적 고찰 / 대한이비인후과학회지 두경부외과학 48(7):913~919

Lee SH / 2015 / Non-Surgical Management for Benign Vocal Fold Lesions / J Korean Soc Laryngol Phoniatr Logop 26(2):97~100

Lim JY / 2006 / Voice analysis of patients with diverse types of Reinke’s edema and clinical use of electroglottographic measurements / Acta Otolaryngol (Stockh) 126(1):62~69

Ahn JH / 2000 / Possible Etiology and Voice Analysis of Reinke’s Edema / Korean J Otolaryngol-Head Neck Surg 43(8):873~877

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