Resumen
La voz es un tema de investigación actual en el campo de la otorrinolaringología. Sin embargo, no hay estudios basados en hallazgos científicos que se centren en el diagnóstico y tratamiento de la disfonía, especialmente la disfonía de causa no orgánica (con tumefacción leve de las cuerdas vocales o sin ella). Los métodos de investigación cualitativa están bien establecidos entre los laringólogos, pero se carece de métodos cuantitativos que posibiliten la documentación de los efectos terapéuticos en ensayos clínicos, prospectivos y aleatorizados con un seguimiento adecuado. En este artículo se analizan las nuevas opciones de investigación cuantitativa.
Palabras clave
laringología, videoestroboscopia, acústica, mucosa, aspectos funcionales
Clasificación en siicsalud
Artículos originales> Expertos del Mundo>
página www.siicsalud.com/des/des052/07511000.htm
Especialidades
Principal: Otorrinolaringología
Relacionadas: Atención Primaria, Diagnóstico por Imágenes, Diagnóstico por Laboratorio, Farmacología, Infectología, Medicina Familiar, Medicina Farmacéutica, Medicina Interna, Neurología, Oncología, Pediatría
Enviar correspondencia a: Mette Pedersen, Medical Centre, Copenhague, Dinamarca
Patrocinio y reconocimiento Quiero agradecer a mi hija, Michala Pedersen, PhD, MD, en Oxford, Reino Unido. Muchos otros contribuyeron y entendieron nuestro trabajo y estamos agradecidos por los avances en nuestro campo.
Artículo completo (castellano)
Extensión:
+/- 4.21 páginas impresas en papel A4
Exclusivo para suscriptores/ assinantes |
UPDATES IN LARYNGOLOGICAL RESEARCH ON DYSPHONIA
Abstract
The voice is a current topic of focused research in the field of otorhinnolaryngology. There are, however, no evidence-based studies focusing on the diagnosis and treatment of dysphonia - particularly of non-organic dysphonia (with or without small swellings of the vocal cords). Qualitative measurement methods have been well-established among laryngologists, but quantitative methods which would facilitate documentation of treatment effects in prospective, randomized clinical trials with follow-up are lacking. New quantitative measurement options are discussed.
Key words
laringology, videostroboscopy, acoustics, mucosa, functional aspects
Full text (english)
para suscriptores/ assinantes
|
Bibliografía del artículo
1. Pedersen M, Beranova A, Møller S. Dysphonia: Medical treatment versus a medical voice hygiene advice approach. European Archives of Oto-Rhino-Laryngology 261(6):312-315, 2004.
2. Pedersen M. Computed phonetograms in adult patients with benign voice disorders before and after treatment with a non-sedating antihistamine (loratadin). Folia Phoniatrica 43:60-67, 1997.
3. Pedersen M. Brain maps of promontory stimulation in cochlear implant candidates. Nordic ORL Congress. Island (Abstract no 099 in the conference book), 2005.
4. Pedersen MF. In CE Seashore: Psychology of music. Dover Publications, Minnesota, 1st ed. 1938. Folia Phoniatr 44:312, 1991.
5. Pedersen MF. Stimmfunktion vor und nach Behandlung von Hirngeschädigten. Mit Stroboskopie, Phonetographie und Luftstromanalyse durchgefürht. Sprache, Stimme, Gehöhr 19:84-89, 1995.
6. Smith R. The trouble with medical journals. J Royal Society of Medicine 99:115-119, 2006.
7. Pedersen M, Møller S, Frøkjær-Jensen B, Thyme-Frøkjær K. Musicality training level of listeners to the voice perception test GRBAS: Int. Federation Oto-Rhino-Laryngol Societies. Rome (Abstract in conference book), 2005.
8. Pocock SJ. Clinical trials. A practical approach. Ed. UK: John Wiley & Sons, Ltd., 2002.
9. SAS institution. JMP for statistics and data management.
10. Franks A, Watt I, Ayres P, Jones K, Pollock C, Whitty P, Weight J. Trust, standards and healthcare quality: a case of babies and bathwater? J Royal Soc Medicine 99:112-114, 2006.
11. Pedersen M, McGlashan J. Surgical versus non-surgical interventions for vocal cord nodules. In: The Cochrane Library, issue 1, UK: John Wiley & Sons, Ltd., 2004.
12. Hopkins C, Yousaf U, Pedersen M. Acid reflux treatment for hoarseness. In: The Cochrane Library, issue 2, UK: John Wiley & Sons, Ltd., 2006.
13. Gov. Identifier: NCT00170001. Which supraesophageal reflux symptoms reliably respond to proton-pump-inhibitor (PPI). Therapy sponsors and collaborators: Mayo Clinic, AstraZeneca.
14. Dikkers FG. Intraobserver variation in diagnosis of benign non-neoplastic lesions of vocal folds. Lancet 337(8745):866, 1991.
15. Schönhärl E. New stroboscope with automatic frequency regulation and recent results of its application in the studies of vibration of the vocal cords in dysphonia of various origins. Rev Laryngol Otol Rhinol (Bord) 77(Suppl):476-81, 1956.
16. Pedersen MF. Electroglottography compared with synchronized stroboscopy in normal person's phonetograms for clinical use. Folia phoniatr, Proc XXth congr int ass logopedics and phoniatrics 170-71, 1977.
17. Pedersen MF, Møller S, Krabbe S, Bennett P, Munk E. Phonetograms in choir boys compared with voice categories, somatic puberty and androgen development. J Research Singing 9:39-49. Folia Phoniatr 29:191-200, 1986.
18. Pedersen MF, Lindskov Hansen H, Lindskov Hansen T, Munk E. A phonetograph for use in clinical praxis. Acta otolaryngol (Stockholm) S412:138, 1984.
19. Pedersen MF, Møller S, Krabbe P. Voice categories compared with phonetograms, androgens, estrogens and puberty stages in 8-19 year old choir girls. J Research Singing 13:14-20, 1990.
20. Pedersen M. Biological development and the normal voice in puberty. University of Oulu Finland, and Gentofte University Hospital (director prof. M. Tos) ENT Dpt, Denmark, 1997.
21. Laryngograph microprocessor Speech Studio. Laryngograph Ltd.
22. Pedersen M, Yousaf U. Videostroboscopic expert evaluation of the larynx with running objective voice measurement at the same time gives more secure results than videos alone. Int Conf Vocal Fold Physiology and Biomechanics, Tokyo, Japan (Abstract in conf. book), 2006.
|
Clasificado en
Artículos originales>
Expertos del Mundo
Especialidad principal:
Otorrinolaringología
Relacionadas:
Atención Primaria,
Diagnóstico por Imágenes,
Diagnóstico por Laboratorio,
Farmacología,
Infectología,
Medicina Familiar,
Medicina Farmacéutica,
Medicina Interna,
Neurología,
Oncología,
Pediatría |
|
|