声门闭合不全的病因及诊疗研究进展

doi:10.6040/j.issn.1673-3770.0.2024.519

Abstract

Abstract: Glottic insufficiency refers to the incomplete closure of the bilateral vocal cords in the absence of space-occupying lesions, resulting in air "leakage." The primary manifestations include persistent hoarseness, weak phonation, and a breathy voice. Some patients may also exhibit symptoms such as choking, dysphagia, and even aspiration. The etiologies of glottic insufficiency encompass structural voice disorders, such as vocal fold sulcus and vocal fold scarring, as well as regulatory voice disorders, such as vocal fold paralysis and phonatory fatigue. Clinically, assessment tools often include the voice-related quality of life scale, laryngoscopy, acoustic analysis of the voice, electroglottography, and aerodynamic measurements. For patients suspected of having vocal fold paralysis, laryngeal electromyography is employed. The treatment of glottic insufficiency aims to reduce the glottic gap during phonation, thereby improving the patient's voice quality. This paper reviews the common causes and treatment methods for glottic insufficiency, summarizes the latest advancements in diagnosis and treatment, and provides a reference for clinicians.

Key words: Glottic insufficiency, Etiology, Diagnosis, Vocal cord paralysis

CLC Number:

R767.92

ZHOU Zhihang, LIU Suru, ZHOU Jing, CHEN Dan, YANG Jiajing, LIU Rui, ZHOU Li. Etiology and treatment advances in glottic insufficiency[J].Journal of Otolaryngology and Ophthalmology of Shandong University, 2025, 39(3): 97-103.

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