We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Hypernasality after using the endoscopic endonasal transsphenoidal approach for skull base tumors.
- Authors
Kim, Boo‐Young; Shin, Ji‐Hyeon; Kim, Sung Won; Hong, Yong Kil; Jeun, Sin‐Soo; Kim, Soo Whan; Hwang, Jae Hyung; Yoo, Soon‐il; Lee, Yong Joo; Shim, Mi‐Ran; Hwang, Yeon‐Shin
- Abstract
<bold>Objectives/hypothesis: </bold>The increasing number of endoscopic endonasal transsphenoidal approaches (EETSA) has resulted in several sinonasal complications, including voice changes. Here, we compared preoperative and postoperative voice changes according to age.<bold>Methods: </bold>We retrospectively reviewed the medical records. Patients were divided into the following three groups according to age: ≤ 30 years, 31 to 60 years, and ≥ 60 years. Patients underwent preoperative voice evaluation using acoustic analysis, a nasometer, and the voice handicap index (VHI). A nasometer was used to measure the nasalance scores. The subjects read or repeated three speech stimuli. For each stimulus, mean nasalance scores were obtained and age dependence was analyzed. Repeat testing was performed 6 months postoperatively.<bold>Results: </bold>One hundred and seventy patients who underwent binostril four-hand EETSA with a bilateral modified rescue flap were included in this study. Mean nasalance scores for the oral passage, oronasal passage, and nasal passage--as well as mean jitter scores, shimmer scores, and VHI--were significantly increased in all of the EETSA patients (P < 0.05 for all). Mean nasalance scores for the nasal sentences were significantly increased in the ≤ 30 age group (all, P < 0.05). Scores for the oronasal passage and nasal passage were significantly increased in the 31 to 60 age group (all, P < 0.05). Scores for the oronasal passage, nasal passage, jitter, and shimmer were significantly increased in the > 60 age group (all, P < 0.05).<bold>Conclusions: </bold>Endoscopic endonasal transsphenoidal approaches might contribute to voice changes. In addition, older age might produce hypernasality and roughness after EETSA. Patients who plan to undergo EETSA should be informed that their voice may change after the operation.<bold>Level Of Evidence: </bold>4.
- Subjects
HYPERNASALITY; SKULL base; ENDOSCOPY; RESONANCE; VOICE disorders; COMPUTED tomography; LONGITUDINAL method; NOSE; OPERATIVE otolaryngology; SPHENOID sinus; RETROSPECTIVE studies; SKULL tumors; DIAGNOSIS
- Publication
Laryngoscope, 2016, Vol 126, Issue 2, p329
- ISSN
0023-852X
- Publication type
journal article
- DOI
10.1002/lary.25450