[Influence of handicapped of patency nose on quality created of voice].
OBJECTIVE
The aim of researches was estimation of quality of voice after operations correcting of the nasal septum deviation.


METHODS
With researches one embraced 40 men in two groups (group I: 20-30 of years old, group II--above 50 of year old). Voice one priced before operation of corrective nose and 6 of months after executed intervention. In researches one used with scale GRBAS, with estimation laryngostroboskopy of function of vocal folds, with acoustic analysis created of voice, with measurement of maximum phonation time and with Polish version of VHI. Patency of nose priced patients at subjective help of five--gradual of scale.


RESULTS
After 6 months all ill favourably priced effect executed of operation improving patency of nose. In scale GRBAS in group I examined voice one priced as normal at 12 ill (60%), instead in group II only at 3 men (15%). Above--regularity refers also of roughness of voice. In stroboscope research executed before operation at almost all ill one ascertained diminution of amplitude of twitches of folds vocal and mucosal wave. After 6 months after operation in group I both amplitude of twitches of vocal folds as and mucosal wave at mostly examined surrendered of normalization. In group II profitable changes we observed only at several of persons. Maximum phonation time of vowel "a" after operation of nose surrendered to extension in both groups examined, however men of group I reached significantly better results, with average value approaching to norms. In acoustic analysis to distinct improvement, but only in group I examined surrendered parameter NHR. In estimation with test VHI six months after operation sense of disturbances of voice in both groups surrendered to diminution, in proportion to qualities created of voice.


CONCLUSIONS
Operating--restoration physiological air passage at all ill causes diminution or liquidation earlier stepping out of disturbances of voice. From passed researches results, that improvement of health, manifesting itself voice euphonious is in considerable percentage possible only at young persons. At ill in middle age and older to entire liquidation of disturbances of voice will reach in single chances.
Ratajczak
Jan
J
Wojskowy Instytut Medyczny, Klinika Otolaryngologii CSK MON Warszawa. ratajczakjan@interia.pl
Rapiejko
Piotr
P
Wojdas
Andrzej
A
Jurkiewicz
Dariusz
D
D000328:Adult; D000367:Age Factors; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D015508:Nasal Obstruction / Q000150:complications* / Q000601:surgery*; D009300:Nasal Septum / Q000002:abnormalities* / Q000601:surgery*; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods; D011044:Poland; D013061:Speech Acoustics; D016896:Treatment Outcome; D014832:Voice Disorders / Q000209:etiology* / Q000601:surgery*; D014833:Voice Quality; D055815:Young Adult