首页> 外文期刊>Journal of voice: official journal of the Voice Foundation >Laryngeal electromyography: clinical application.
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Laryngeal electromyography: clinical application.

机译:喉肌电图:临床应用。

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摘要

Laryngeal electromyography (LEMG) is a valuable adjunct in clinical management of patients with voice disorders. LEMG is valuable in differentiating vocal fold paresis/paralysis from cricoarytenoid joint fixation. Our data indicate that visual assessment alone is inadequate to diagnose neuromuscular dysfunction in the larynx and that diagnoses based on vocal dynamics assessment and strobovideolaryngoscopy are wrong in nearly one-third of cases, based on LEMG results. LEMG has also proven valuable in diagnosing neuromuscular dysfunction in some dysphonic patients with no obvious vocal fold movement abnormalities observed during strobovideolaryngoscopy. Review of 751 patients suggests that there is a correlation between the severity of paresis and treatment required to achieve satisfactory outcomes; that is, LEMG allows us to predict whether patients will probably require therapy alone or therapy combined with surgery. Additional evidence-based research should be encouraged to evaluate efficacy further.
机译:喉肌电图(LEMG)是语音障碍患者临床管理中的重要辅助手段。 LEMG在区分声带麻痹/麻痹与环环韧带关节固定方面很有价值。我们的数据表明,仅凭视觉评估不足以诊断喉咙中的神经肌肉功能障碍,而根据LEMG结果,在近三分之一的病例中,基于声音动力学评估和频闪喉镜检查的诊断是错误的。事实证明,LEMG在某些频发性喉镜检查中没有发现明显的声带运动异常的发音障碍患者中,对诊断神经肌肉功能异常也很有价值。对751名患者的回顾表明,轻瘫的严重程度与达到满意结果所需的治疗之间存在相关性。也就是说,LEMG使我们能够预测患者是否可能需要单独治疗或联合手术治疗。应鼓励进行其他循证研究以进一步评估疗效。

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