Contribuciones de la manometría de alta resolución a la fisiología de la fonación

High-Resolution Manometry Contributions to the Physiology of Phonation

Publicado 2023-11-30 — Actualizado el 2023-12-11

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Vol. 5 Núm. 2 (2023)
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Artículo de reflexión
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1.
Contribuciones de la manometría de alta resolución a la fisiología de la fonación. Rev. Investig. Innov. Cienc. Salud [Internet]. 2023 Dec. 11 [cited 2024 Nov. 24];5(2):232-4. Available from: https://riics.info/index.php/RCMC/article/view/227
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https://doi.org/10.46634/riics.227
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Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.

Thays Vaiano
Centro de Estudos da Voz (CEV); São Paulo; Brazil
    https://orcid.org/0000-0003-2169-2723
    Fernando Herbella
    Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
      https://orcid.org/0000-0003-3594-5744
      Flávia Badaró
      Centro de Estudos da Voz (CEV); São Paulo; Brazil. / Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
        https://orcid.org/0000-0002-8877-3408
        Mara Behlau
        Department of Surgery; Escola Paulista de Medicina; Federal University of São Paulo; São Paulo; Brazil
          https://orcid.org/0000-0003-4663-4546
          Mostrar biografía de los autores

          La manometría de alta resolución (HRM, por sus siglas en inglés) es un sistema de diagnóstico de motilidad que mide la presión intraluminal del tracto gastrointestinal mediante una serie de sensores de presión dispuestos de manera cercana. El gráfico topográfico generado por el software de HRM permite visualizar las presiones de fonación en la faringe, el EEI y el cuerpo del esófago en tiempo real, indicando la intensidad de la presión mediante colores que facilitan la interpretación de los datos. Ha sido ampliamente utilizado para el estudio de la deglución y el diagnóstico de la disfagia. Debido a la proximidad de las estructuras faringoesofágicas y laríngeas, esta tecnología ha despertado el interés de los investigadores en voz. A pesar de los pocos estudios publicados hasta ahora, la manometría de alta resolución ha demostrado ser una herramienta extremadamente útil para obtener mediciones de presión de todo el segmento faringoesofágico durante la fonación. Además, permite la producción natural de la voz sin interferir en el área de la boca. Los datos de HRM ya han arrojado luz sobre la presión subglótica, la excursión laríngea vertical, la activación del músculo cricofaríngeo, el flujo de aire, la tensión muscular asociada con la vocalización y las variaciones de presión asociadas con diferentes estímulos fonatorios.

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