Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2026, Vol. 40 ›› Issue (5): 53-56.doi: 10.6040/j.issn.1673-3770.0.2025.050

• Pediatric Otorhinolaryngology Head and Neck Surgery • Previous Articles    

Effects of tonsillectomy and adenoidectomy on vocal characteristics and resonance parameters in children

CHEN Qiaoting, ZOU Song, ZHU Jinzhi, ZHANG Jinxing, LI Jianxiang   

  1. Department of Otorhinolaryngology, Jinjiang Municipal Hospital(Fujian Hospital of Shanghai Sixth People's Hospital), Quanzhou 362200 Fujian, China
  • Published:2026-09-07

PDF (PC)

27

Abstract: Objective To explore the effects of tonsillectomy and adenoidectomy on vocal characteristics and resonance parameters in children. Methods A total of 61 children undergoing tonsillectomy and adenoidectomy, and 61 healthy children who underwent physical examination in the hospital were enrolled as experimental group and healthy control group, respectively. The multi-dimensional vocal examination was performed for all children to compare multi-dimensional vocal parameters ［fundamental frequency(F0), Jitter, Shimmer, amplitude variation coefficient(vAm), noise harmonic ratio(NHR), voice turmoil index(VTI), soft production index(SPI), formant frequencies(F1-F3), bandwidths(B1-B3)］ between the two groups before and after surgery. Results Before surgery, vAm in experimental group was higher than that in healthy control group(P<0.001), but there was no significant difference in F0, Jitter, Shimmer, NHR, VTI or SPI between the two groups(P>0.05). Compared with 1d before surgery, vAm was decreased at 15d after surgery, vAm and NHR were decreased at 30d after surgery(all P<0.001), formant frequencies and bandwidths were decreased at 30d after surgery(all P<0.001). Conclusion Adenoidectomy and tonsillectomy can reduce vAm, NHR, formant frequencies and bandwidths in children.

Key words: Multi-dimensional vocal examination, Tonsillar and adenoid hypertrophy, Voice characteristic, Resonance parameter, Adenoidectomy and tonsillectomy

CLC Number: 

  • R766.5
[1] 万玉峰, 刘龙生, 徐盼盼, 等. 腺样体肥大或伴扁桃体肥大的睡眠呼吸障碍儿童平均血小板体积和血小板分布宽度变化的临床意义[J]. 安徽医学, 2020, 41(4): 379-382. DOI:10.3969/j.issn.1000-0399.2020.04.005
[2] 史欣, 蒋源, 孙继周, 等. 等离子射频消融术对小儿扁桃体腺样体肥大的疗效[J]. 河北医药, 2023, 45(10): 1540-1542,1546. DOI:10.3969/j.issn.1002-7386.2023.10.024.
[3] 高淑蔚, 郭永丽, 许志飞. 阻塞性睡眠呼吸暂停综合征儿童腺样体扁桃体切除术后治疗效果及其预测因素的研究进展[J]. 中华耳鼻咽喉头颈外科杂志, 2020, 55(6): 630-634. DOI: 10.3760/cma.j.cn115330-20191105-00666
[4] 张静, 魏玮, 黄振云, 等. 升麻解毒方结合白三烯受体拮抗剂对肺经蕴热证儿童腺样体肥大的疗效及其对A/N比率的影响[J]. 川北医学院学报, 2021, 36(8): 1019-1023. DOI:10.3969/j.issn.1005-3697.2021.08.017
[5] Nicodemo J, Hamersley E, Baker P, et al. Benign adenoidal hypertrophy caused by adenovirus presenting as a nasopharyngeal mass concerning for malignancy[J]. Int J Pediatr Otorhinolaryngol, 2020, 138: 110300. DOI: 10.1016/j.ijporl.2020.110300
[6] 马志强, 宋惠芸, 于海玲. 扁桃体、腺样体切除术对语音及嗓音影响研究进展[J]. 山东大学耳鼻喉眼学报,2023,37(1):120-123,131. DOI: 10.6040/j.issn.1673-3770.0.2021.559
[7] 曹媛, 张奇雪, 阮宏莹, 等. 声带占位病变患者多维嗓音声学分析及发声空气动力学检测比较[J]. 听力学及言语疾病杂志, 2019, 27(3):280-284. DOI:10.3969/j.issn.1006-7299.2019.03.011
[8] 孙虹, 张罗. 耳鼻咽喉头颈外科学[M]. 9版. 北京: 人民卫生出版社, 2018: 215-216
[9] 吴长珍, 卢爱华, 孙霞, 等. 基于鼻咽X线摄影侧位片及鼻内镜诊断的腺样体肥大致学龄期儿童OSAHS与情绪障碍的关系[J]. 医学影像学杂志, 2024, 34(8): 26-29
[10] 王淇, 陈银忠. 睡眠呼吸障碍伴腺样体和/或扁桃体肥大患儿血常规指标变化的临床分析[J]. 中国耳鼻咽喉颅底外科杂志, 2026, 32(1): 78-85. DOI:10.11798/j.issn.1007-1520.202625109
[11] 郝中平, 顾怀宇, 李雯, 等. 鼻内镜下低温等离子切除术对扁桃体及腺样体肥大患儿创伤应激、 CC类趋化因子的影响[J]. 实用临床医药杂志, 2022, 26(5): 127-130,143. DOI:10.7619/jcmp.20212626
[12] 米晓琳, 曹志伟, 王萌, 等. 儿童扁桃体腺样体肥大与哮喘的关系及扁桃体腺样体切除术后哮喘变化分析[J]. 临床耳鼻咽喉头颈外科杂志, 2021, 35(8):760-764. DOI:10.13201/j.issn.2096-7993.2021.08.019
[13] 舒艳梅, 彭春梅, 黄艳, 等. 失效模式与效应分析护理模式在鼻窦炎合并腺样体肥大患者手术室安全管理中的应用[J]. 实用医院临床杂志, 2022, 19(1):147-150. DOI:10.3969/j.issn.1672-6170.2022.01.039
[14] 杨佳讯, 王志琴, 吴劲燕. 护理临床路径在低温等离子射频消融术治疗儿童扁桃体和腺样体肥大中的应用[J]. 中华危重症医学杂志(电子版), 2020, 13(4): 319-320. DOI:10.3877/cma.j.issn.1674-6880.2020.04.018
[15] 刘益建, 王军民, 孙浩, 等. 加减疏风清热汤在扁桃体伴腺样体肥大切除术中的应用[J]. 辽宁中医杂志, 2024, 51(11):103-106. DOI:10.13192/j.issn.1000-1719.2024.11.027
[16] 武雅琴, 张佳庆, 张涛. 数据增强和复杂特征优化的类不平衡病理嗓音检测[J]. 应用声学, 2025, 44(1): 234-244. DOI:10.11684/j.issn.1000-310X.2025.01.025
[17] Tse KL, Savoldi F, Li KY, et al. Prevalence of adenoid hypertrophy among 12-year-old children and its association with craniofacial characteristics: a cross-sectional study[J]. Prog Orthod, 2023, 24(1): 31. DOI: 10.1186/s40510-023-00481-4
[18] 马志强, 宋惠芸,于海玲. 儿童扁桃体腺样体肥大对嗓音影响分析[J]. 中国耳鼻咽喉头颈外科, 2023, 30(1): 36-39. DOI:10.16066/j.1672-7002.2023.01.009
[19] Abdel-Aziz M, El-Fouly M, Nassar A, et al. The effect of hypertrophied tonsils on the velopharyngeal function in children with normal palate[J]. Int J Pediatr Otorhinolaryngol, 2019, 119: 59-62. DOI: 10.1016/j.ijporl.2019.01.017
[20] 谢冰, 李哲, 王红星, 等. 探析元音与声强对嗓音声学共振峰检测结果的影响[J]. 临床耳鼻咽喉头颈外科杂志, 2024, 38(12):1149-1153. DOI: 10.13201/j.issn.2096-7993.2024.12.011
[21] Sundberg J, Lindblom B, Hefele AM. Voice source, formant frequencies and vocal tract shape in overtone singing. A case study[J]. Logoped Phoniatr Vocol, 2023, 48(2): 75-87. DOI: 10.1080/14015439.2021.1998607
[22] Gomaa MA, Mohammed HM, Abdalla AA, et al. Effect of adenoid hypertrophy on the voice and laryngeal mucosa in children[J]. Int J Pediatr Otorhinolaryngol, 2013, 77(12): 1936-1939. DOI: 10.1016/j.ijporl.2013.08.039
[23] Mora R, Crippa B, Dellepiane M, et al. Effects of adenotonsillectomy on speech spectrum in children[J]. Int J Pediatr Otorhinolaryngol, 2007, 71(8): 1299-1304. DOI: 10.1016/j.ijporl.2007.05.005
[24] 杨菁菁, 程丽宇, 徐文. 儿童腺样体及扁桃体切除术后发音特征变化的研究[J]. 中华耳鼻咽喉头颈外科杂志, 2021, 56(7):724-729. DOI:10.3760/cma.j.cn115330-20200813-00672
[1] XU Wen, TANG Wei, YU Shaoqing, LI Shaohui, GE Rongming. Treatment of pharyngeal and laryngeal hemangiomas with pingyangmycin [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 62-64.
[2] DAI Yacuo, LI Jing, WAN Baoluo, ZANG Yanzi, HUANG Yingming. Individualized treatment of pharyngeal and laryngeal cavernous hemangioma:a report of two cases. [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(4): 110-112.
[3] PENG Hao, XU Hui-jie, HUANG Wei-ning, GAO Zhan, HE Yu-xia, HU Chang-yong. Analysis of sound pressure level parameters of snoring sounds in patients with obstructive sleep apnea-hypopnea syndrome and simple snoring [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 42-46.
[4] FU Yun-chun. Analysis of psychological factors and effects of psychological intervention in patients with pharyngeal paraesthesia [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(6): 47-49.
[5] TAO Yanli, YUAN Tiejun. Diagnostic value of detection of pepsin in the saliva for laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 52-55.
[6] WU Dipanpan, CUI Xinhua, GUO Ying, GENG Bo, GAO Fangfang, LIANG Hui. Narrow band imaging might contribute to the diagnosis of laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(3): 31-36.
[7] SHAO Na, ZHANG Qingqing, LIU Xiaohong, XIE Meng, GUO Ruixin, MA Sijing, LIU Haiqin, REN Xiaoyong, LUO Huanan. Effects of Helicobacter pylori infection on salivary pepsin concentration in patients with symptomatic laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(6): 89-95.
[8] WANG Lei, LI Baowei, WANG Gang, LIU Hongdan, HAN Haolun, ZHANG Xiaoli, WU Wei. A preliminary study on nocturnal alkali reflux in OSAHS patients [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(6): 75-79.
[9] WU Wei, WANG Lei, CHEN Sheng, LI Lianyong, WANG Gang. Multidisciplinary research and advances in gastro-oesophageal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 1-14.
[10] ZHANG Li, ZHANG Mengru, Alimire Aierken, QIU Zhongmin. Role of pharyngeal reflux in common respiratory diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 23-29.
[11] ZHAO Jianing, CUI Yuanxin, WANG Dan, ZHAO Ming. Exploration of the relationship between laryngopharyngeal reflux and recurrent respiratory papilloma and its mechanism [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 39-45.
[12] ZHANG Shan, CHEN Qiu, ZHOU Fangwei, MA Yifei. Research progress of biomarkers in laryngopharyngeal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 46-54.
[13] XI Xiaoyu, SUI Xinke, CHEN Sheng, LI Lianyong, ZHONG Changqing. Endoscopic treatment of laryngopharyngeal reflux disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 61-65.
[14] NIU Yanyan, GU Wei, JIN Xiaofeng, HUO Hong, YANG Dahai, CUI Tingting, WANG Jian. Expression analysis of pepsin in vocal cord leukoplakia tissues [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 66-70.
[15] WANG Lei, WANG Gang, SUN Zhezhe, LIU Hongdan, HAN Haolun, LI Baowei, ZHANG Xiaoli, WU Wei. Correlations between vocal cord hyperplastic lesions, vocal cord leukoplakia, chronic laryngopharyngitis, and laryngopharyngeal reflux [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2024, 38(6): 71-77.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd