Clinical efficacy of voice training in the perioperative period of vocal cord polyp / 中国耳鼻咽喉头颈外科

OBJECTIVE To study the clinical efficacy of voice training on voice recovery in patients with vocal cord polyps during perioperative period.METHODS A total of 72 patients with vocal cord polyp were chosen in this study and they were randomly divided into study group and control group. After operation, the control group received routine treatment, and the study group received voice training on the basis of routine treatment. The results of voice acoustic analysis in the two groups were compared at 8 weeks after operation.RESULTS After 8 weeks, the maximum phonation time(MPT), dysphonia severity index (DSI) and the highest frequency(F0-High) of the study group were significantly higher than that of control group (P0.05).CONCLUSION Voice training in the early postoperative period of vocal cord polyps was helpful to the recovery of the voice.

The study of removal methods on special type tracheobronchial foreign bodies / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To investigate the available operation method of special type tracheobronchial foreign bodies removal.@*METHOD@#Sixty one patients of special type tracheobronchial foreign bodies were extracted with some special instruments and methods depend on foreign body types. The features of operation on different kinds of foreign bodies were analyzed.@*RESULT@#All patients were operated successfully by using foreign body hook (31 cases), pencil or writing screw brush extracted (11 cases), foreign body cage (13 cases), slender inverse claw esophagus foreign body clamp (3 cases) and so on. No complications and died cases were found. Only 5 patients were undertaken trachea incision before operation.@*CONCLUSION@#Suitable instruments and technique chose for every individual cases is the key to successful operation.

Analysis of correlative factors of affecting phonetic effect after operation with cleft palate / 中国基层医药

Objective To observe the phonetic effect after operation on patients with cleft palate.Methods 100 patients with cleft palate were grouped and assessed.Results All the patients were synthetically evaluated,the patients being good recovered accounted for 78%.Conclusion Early operation on patients with cleft palate combing with proper phonetic exercises should further increase the phonetic effect after operation on palate.

Analysis of the predisposing factors of pharyngo-cutaneous fistulae following laryngeal cancer surgey / 中国基层医药

Objective To search the predisposing factors of pharyngo-cutaneous fistulae after surgical treatment of laryngeal cancer.Methods The clinical datas related to pharyngo-cutaneous fistulae following laryngeal cancer surgey were analyzed statistically in 115 cases with laryngeal cancer.Results The incidence rate of phargngo-cutaneous fistrulae following laryngeal cancer surgey in laryngal cancer who were younger than 60,in T_2 or stage,in good nutrition,with out preoperative radiother apy.Whose operation time were below 6h,or taken partial laryngectomy,was significantly less than that of those who were over 60 years old,in T_4 stage,in malnutrition,with preoperative radiotherapy,or whose operation time were over 6h,or taken total laryngectomy respectively.But didn't related to incision time and post surgical drainage.Conclusion The age,nutrition conditions,clinical stage,operation type,preoperative,radiotherapy and operation time may play an important role in the pharyngo-cutaneous fistulae following laryngeal cancer surgey.