Laryngeal Surgeon Shares Lessons Learned From Partnership with Musical Theatre Students

芭蕾舞演员以同样的方式依靠他们的脚，歌手和演员将声音用作乐器。这就是为什么声音表演者必须小心翼翼地保持人声绳的原因。

为了帮助有抱负的舞台表演者学习良好的人声卫生的基础知识，喉外科医生约翰·格尼亚迪博士，耳鼻喉科医学主任 - 头颈手术118金宝搏抽水宾夕法尼亚州健康米尔顿·S·赫尔希医疗中心，与宾夕法尼亚州立大学音乐剧院建立了独特的伙伴关系。

In September 2019, members of the program’s freshman class traveled from the Penn State campus in State College, Pa., to the Milton S. Hershey Medical Center. There, Gniady and speech pathologists Erin Kelly and Melissa Montano performed vocal cord screenings and offered tips to help the young singers protect their voices.

“我们的目标是进行基线检查，因此，如果这些学生有任何声音问题，我们可以更好地了解发生了什么变化，” Gniady说。

研究表明，专业的语音使用者更容易出现诸如微血管病变及其相关的声带出血和喉炎的后遗症，这是由于声音过度使用而引起的。此外，专业语音使用者面临与其他看耳鼻喉科医生的患者相同的问题更改

“Many singers will start having vocal cord issues over the course of their careers,” Gniady says. “We often see small lumps or bumps develop that can be signs of enlarged blood vessels. When those blood vessels become irritated or engorged due to vocal cord trauma, they may be at risk for rupture or bleeding.”

Gniady and his team gave the freshmen musical theatre students two levels of screening. First, each student completed a symptom questionnaire, self-reporting any concerns they were having with their vocal cord health.

接下来，学生接受了视频镜检查检查。通过灵活的望远镜进行的这种筛选使用频闪灯来查看声带的振动。Gniady说：“在正常语音期间，人声绳从每秒120次到240次，具体取决于一个人的声音频率。”“肉眼看不到。但是，频闪灯使您可以从慢动作中看到振动模式。”

Each student received a digital copy of the screening. Students also learned about the anatomy and physiology of the vocal system and received education about vocal hygiene, including the importance of eating well, staying properly hydrated, avoiding throat irritants such as smoking and reducing caffeine intake.

“The students loved it,” Gniady says. “It’s rare for them to see the way their vocal cords work, so it was really meaningful to them.”

虽然无症状的患者通常不会接受视频镜检查筛查，但它对于在专业语音使用者中对声带问题的早期识别很有用。经历声带问题的患者应在症状的第一个迹象后的12周内接受视频筛查。

Working with singers and stage professionals is nothing new to Gniady. He performed his fellowship in laryngeal surgery in 2013 at Massachusetts General Hospital’s Center for Laryngeal Surgery. There, he worked alongside Dr. Steven Zeitels, the surgeon who performed vocal cord microsurgery on pop singer Adele in 2011.² “He’s worked with Sam Smith, Christina Perri, Stephen Tyler, Julie Andrews and many other performers,” Gniady says.

激励他的奖学金培训——和他的experience in working with freshmen students from the New England Conservatory of Music and Berklee College of Music in Boston – Gniady formed similar partnerships once he went into private practice. While practicing in Sarasota, Fla., he worked with vocalists from two top regional venues, the Sarasota Opera and the Asolo Repertory Theatre.

在2019年8月到达好时医学中心后，Gniaddy与宾夕法尼亚州立大学美术音乐剧院学士学位主管约翰·辛普金斯（John Simpkins）建立了类似的合作伙伴关系。Gniady计划在2021年春季与新的新生音乐剧院班合作，并希望将放映和教育扩展到宾夕法尼亚州立大学的声音和歌剧节目中的学生。

他说：“我们越能帮助年轻的歌手了解他们的声带并提高他们的技术，我们就越能解决可能在道路上发展的问题。”

References

1. Franco R, Andrus J. Common diagnoses and treatments in professional voice users.耳鼻喉科临床北部。2007; 1025-1061。doi：https://doi.org/10.1016/j.otc.2007.05.008
2. Jaslow R.认识Adele的声带外科医生Steven Zeitels博士。CBS新闻网站。https://www.cbsnews.com/news/meet-adeles-vocal-cord-surgeon-dr-steven-zeitels/。2012年2月13日发布。2020年9月29日访问。