音聲治療和喉顯微手術後處置調查

Survey on Voice Therapy and Post-laryngomicrosurgical Management

詹光漢(Kuang-Hann Tsan) ； 蕭元章(Yuan-Chang Hsiao) ； 蘇茂昌(Mou-Chan Su) ； 張昭明(Chau-Ming Chang) ； 蘇鴻銘(Hon-Min Su)

《中華民國耳鼻喉科醫學會雜誌》 28卷2期 (1993/04) Pp. 111-115

https://doi.org/10.6286/1993.28.2.111

摘要

利用問卷調查表，請求專科醫師訓練醫院的33名耳鼻喉醫師，回答有關音聲治療和喉顯微手術後處置的問題。經整理分析後，得到如下的結果：
1.關於喉顯微手後的默聲期間，大家對聲帶結節（≦7天佔48.5％，8～14天佔45.5％）和聲帶息肉（≦7天佔42.4％，8～14天佔48.5％）兩者，觀點不一；但是對於息肉性聲帶炎（≦7天佔18.2％，8～14天佔63.6％），則大多數看法一致。
2.大多數（63.6％）贊同因應需要而採術前、術後或兩者兼有的音聲治療。
3.提供音聲衛生指導予所有音聲異常病患，乃具共識的治療原則。
4.喉顯微手術後引起的心因性音聲異常，應受到重視，並須提前預防其發生。

關鍵字

音聲治療 ； 默聲療法

並列摘要

We designed a questionnaire about voice therapy and post-laryngomicrosurgical-management and inquired 33 otolaryngologists-phonosurgeons in Taiwan. The results revealed as follows: As to the duration of post-laryngomicrosurgical vocal rest, there were different points of view for vocal nodules and vocal polyp. Nearly half (48.5%) of the respondents prescribed vocal rest within 7 days while 45.5% 8-14 days for vocal nodules. With regard to vocal polyps, 42.4% prescribed within 7 days and 48.5% 8-14 days. However they were in better agreement as to polypoid corditis that 18.2% prescribed 7 days and the majority of them (63.6%) 8-14 days. Most of the respondents (63.6%) agreed that preoperative, post-operative or combined voice therapy should be selected appropriately when needed. All the respondents consented that vocal hygiene had to be recommended to all the voice disordered patients. Postoperative dysphonia had to be considered seriously and prevented in advance.

並列關鍵字

voice therapy ； vocal rest