| Author/Editor | Bevc, Katja; Šereg Bahar, Maja | |
| Title | Rehabilitacija glasu po operaciji Reinkejevega edema glasilk | |
| Translated title | Voice rehabilitation after surgery for vocal folds Reinke's edema | |
| Type | članek | |
| Vol. and No. | Letnik 19, št. 1 | |
| Publication year | 2020 | |
| Volume | str. 35-40 | |
| ISSN | 1580-9315 - Rehabilitacija | |
| Language | slv | |
| Abstract | Izhodišča: Reinkejev edem (RE) je oteklina glasilk, zaradi katere postane glas hripav. Zdravimo ga z operacijo glasilk ter logopedsko in psihološko rehabilitacijo glasu. Po operaciji glas ni vedno dober. V naši raziskavi smo želeli ugotoviti, kateri dejavniki pomembno vplivajo na kakovost glasu po operaciji in pri kakšnem deležu bolnikov po operaciji se pojavljajo težave pri rehabilitaciji glasu. Metode: V retrospektivno raziskavo smo vključili vse bolnike, ki so zaradu RE v letih 2016 % 2018 potrebovali kirurško zdravljenje na Kliniki za Otorinolaringologijo in Cervikofacialno kirurgijo v Ljubljani. Zbrali smo podatke o starosti, spolu, dejavnikih tveganja za razvoj RE, poklicu, težavah z glasom in dihanjem, stanjem glasilk pred kirurškim posegom, o vrsti kirurškega posega, računalniški akustični analizi glasovnega vzorca (MDVP) ter bolnikovi oceni glasovnih težav z vprašalnikom Voice Handicap Index (VHI) pred in po operaciji. Zanimalo nas je tudi, ali je bil bolnik vključen v logopedsko in psihološko obravnavo pred in po kirurškem posegu. Rezultati: V raziskavo smo zajeli 82 bolnikov. Kot glavni dejavnik tveganja za nastanek RE se je izkazalo kajenje. Opustitev kajenja (p = 0,03) in vrsta kirurškega posega (p = 0,02) sta bila statistično značilno povezana s kasnejšo kakovost glasu. Pri 34 % bolnikov je bil glas po kirurškem posegu nezadovoljiv; ti so bili nato deležni logopedske rehabilitacije, le posamezni pa tudi psihološke podpore. Po kirurškem zdravljenju RE je le 43 % bolnikov opustilo kajenje. Zaključki: Po operaciji RE glas ni vedno dober. Želeli bi si, da bi bili vsi bolniki deležni ustrezne obravnave, to je poleg operacije RE tudi logopedske in psihološke že pred kirurško obravnavo in po njej, rehabilitacije glasu ter tudi pomoči pri odvajanju od kajenja.Background: Reinke's edema (RE) is a swelling of the vocal folds that makes the voice hoarse. It is treated with vocal fold surgery and speech and psychological rehabilitation of the voice. After surgery, the voice quality is not always good. The aim of our study is to determine which factors significantly influence the quality of voice after surgery and the proportion of patients who have difficulty in rehabilitating voice after surgery. Methods: In the retrospective study we included all patients who underwent surgery for RE at the Clinic for ENT in Ljubljana within in the years 2016 % 2018. We summarized the data on age, gender, risk factors for the development of RE, occupation, voice and breathing problems, pre-operative condition of the vocal folds, type of surgery, computerized acoustic analysis of the voice sample (MDVP), and patient assessment of voice problems using the Voice Handicap Index questionnaire (VHI) before and after surgery. We wanted to know if the patient had received pre- and post-operative speech and psychological treatment and rehabilitation. Results: Eighty-two patients were included in the study. Smoking was identified as a major risk factor for RE. Smoking cessation (p = 0.03) and type of surgery (p = 0.02) were statistically significantly associated with the quality of voice after surgery. In 34 % of the patients, voice was unsatisfactory after surgery; only those received speech therapy and only some individuals received psychological support. After RE surgery, only 43 % of the patients quit smoking. Conclusions: After RE surgery, the voice is not always good. We would like all patients to be treated appropriately, that is, in addition to RE surgery, speech and psychological therapy before and after surgery and voice rehabilitation, as well as smoking cessation assistance. | |
| Keywords | vocal folds edema surgical treatment voice rehabilitation speech and language pathologist psychologist edem glasilk kirurško zdravljenje prehabilitacija glasu logoped psiholog |