Öz
Amaç: Kısa süreli Endotrakeal Entübasyon (EE) sonucu oluşan
vokal kord hasarının ses kalitesi ve ses aralığına olan etkisi incelenmiştir.
Materyal ve Metod: Araştırma Sağlık Bakanlığı Üniversitesi
Haseki Eğitim ve Araştırma Hastanesi KBB Kliniği’nde yürütüldü. Hastaların ameliyat
öncesi ses kayıtları alındı. Hastaların aralıkları hesaplandı. Ölçümler
postoperatif 24. saatte tekrarlandı. Sonuçlar istatistiksel olarak
karşılaştırıldı.
Bulgular: Çalışmaya 24’ü (%60) kadın, 16’ı (%40) erkek 40
hasta dahil edildi. Hastaların yaş ortalaması 33,70 (17-55) idi. Hastaların
operasyon sonrasındaki Bazal Frekans (F0) değerlerinin, en tiz ses frekansının
ve ses aralıklarının operasyon öncesi değerlere göre istatistiksel olarak
anlamlı olarak daha az olduğu saptanmıştır. Jitter, Shimmer ve Harmonik-Gürültü
oranında ise anlamlı değişiklik saptanmamıştır.
Sonuç: EE’un invaziv bir girişim olması nedeni ile vokal
kordlar üzerinde belli etkileri olmaktadır. Bu etkiler genelde kısa sürede
gerilemektedir. Ses profesyonellerinin bu dönemde seslerini daha güvenli
kullanmaları önerilmektedir.
Anahtar Kelimeler
Kaynakça
- Referanslar : 1. Brandt L. The history of endotracheal anesthesia, with special regard to the development of the endotracheal tube. Anaesthesist (1986) 35:523–530.
- 2. Atkinson RS, Rushman GB, Davies NJH (eds) (1993) Lee’s synopsis of anaesthesia. ELBS with Butterworth-Heinemann, Oxford, pp 217–238.
- 3. Ward PH, Zwitman D, Hanson D, Berci G. Contact ulcers and granulomas of the larynx: new insights into their etiology as a basis for more rational treatment. Otolaryngol Head Neck Surg (1979). 1980 May-Jun;88(3):262-9.
- 4. Hahn FW Jr, Martin JT, Lillie JC. Vocal-cord paralysis with endotracheal intubation. Arch Otolaryngol. 1970 Sep;92(3):226-9.
- 5. Beckford NS, Mayo R, Wilkinson A 3rd, Tierney M. Effects of short-term endotracheal intubation on vocal function. Laryngoscope. 1990 Apr;100(4):331-6.
- 6. Hamdan AL, Sibai A, Rameh C, Kanazeh G. Short-term effects of endotracheal intubation on voice. J Voice. 2007 Nov;21(6):762-8. Epub 2006 Aug 14. PMID: 16905292.
- 7. Woodson GE, Cannito M. Voice analysis. In Cummings CW And Others (Eds). Otolaryngology Head And Neck Surgery. Third Edition, Missoury, Mosbyyear book Inc. 1998;1876-1890.
- 8. Stemple C.S. Leslie E.G. Clinical Voice Pathology Theory and Management, Third Ed. Singular Publishing Group, Canada 2000; 42 – 43.
- 9. Finkelhor BK, Titze IR, Durham PL. The effect of viscosity changes in the vocal folds on the range of oscillation. J Voice 1988;1:320-325.
- 10. Paulauskiene, Lesinskas E, Petrulionis M.Eur Arch Otorhinolaryngol. The temporary effect of short-term endotracheal intubation on vocal function. 2013 Jan;270(1):205-10. doi: 10.1007/s00405-012-2130-4. Epub 2012 Aug 3.
Öz
Purpose: To evaluate the voice quality and range after
vocal fold trauma due to Endotracheal Intubation (EI).
Material And Method: The research had been processed in
Ministry of Health University Haseki Education and Research Hospital
Otolaryngology Head and Neck Clinic. The voice samples of patients were
recorded preoperatively. The voice ranges of patients were calculated. The
recordings were repeated at 24h after operation. The results were statistically
compared.
Results: The research
was undergone with 24 (60%) female, 16 (40%) male, total 40 patients. The mean
age was 33,70 (17-55). Postoperative acoustic analysis revealed that the
fundamental frequency (F0), highest level of voice and vocal range were a
statistically significant decreased from preoperative levels. Jitter, Shimmer
and Harmonic-to-Noise ratios did not changed significantly.
Conclusion : The EI is an invasive process and has some
effects on vocal cords. These effects usisally resolve in a short time. The voice professionals need to use their
voice more precautiously during this period.
Anahtar Kelimeler
Kaynakça
- Referanslar : 1. Brandt L. The history of endotracheal anesthesia, with special regard to the development of the endotracheal tube. Anaesthesist (1986) 35:523–530.
- 2. Atkinson RS, Rushman GB, Davies NJH (eds) (1993) Lee’s synopsis of anaesthesia. ELBS with Butterworth-Heinemann, Oxford, pp 217–238.
- 3. Ward PH, Zwitman D, Hanson D, Berci G. Contact ulcers and granulomas of the larynx: new insights into their etiology as a basis for more rational treatment. Otolaryngol Head Neck Surg (1979). 1980 May-Jun;88(3):262-9.
- 4. Hahn FW Jr, Martin JT, Lillie JC. Vocal-cord paralysis with endotracheal intubation. Arch Otolaryngol. 1970 Sep;92(3):226-9.
- 5. Beckford NS, Mayo R, Wilkinson A 3rd, Tierney M. Effects of short-term endotracheal intubation on vocal function. Laryngoscope. 1990 Apr;100(4):331-6.
- 6. Hamdan AL, Sibai A, Rameh C, Kanazeh G. Short-term effects of endotracheal intubation on voice. J Voice. 2007 Nov;21(6):762-8. Epub 2006 Aug 14. PMID: 16905292.
- 7. Woodson GE, Cannito M. Voice analysis. In Cummings CW And Others (Eds). Otolaryngology Head And Neck Surgery. Third Edition, Missoury, Mosbyyear book Inc. 1998;1876-1890.
- 8. Stemple C.S. Leslie E.G. Clinical Voice Pathology Theory and Management, Third Ed. Singular Publishing Group, Canada 2000; 42 – 43.
- 9. Finkelhor BK, Titze IR, Durham PL. The effect of viscosity changes in the vocal folds on the range of oscillation. J Voice 1988;1:320-325.
- 10. Paulauskiene, Lesinskas E, Petrulionis M.Eur Arch Otorhinolaryngol. The temporary effect of short-term endotracheal intubation on vocal function. 2013 Jan;270(1):205-10. doi: 10.1007/s00405-012-2130-4. Epub 2012 Aug 3.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Orjinal Çalışma |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Nisan 2018 |
| Kabul Tarihi | 27 Şubat 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 8 Sayı: 1 |