Voice Evaluation of patients with Chronic Rhinosinusitis and Nasal Polyposis: A Case Series and review of the literature.

IF 1.1 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Abdul-Latif Hamdan, Jad Hosri, Yara Yammine, Jonathan Abou Chaar, Lana Ghzayel, Zeina Maria Semaan, Nader Nawfal, Zeina Korban
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Abstract

Introduction: Chronic rhinosinusitis (CRS) is a common disabling condition that affects 5-12% of the general population. The impact of CRS on voice has garnered interest due to the increasing number of individuals relying on their voice professionally. Previous studies have shown inconsistent results due to heterogeneous study groups and varying outcome measures. The objective of this study is to investigate the voice characteristics of a large homogenous group of patients with chronic rhinosinusitis and nasal polyposis (CRSwNP) and normal laryngeal examination.

Methods: Adult patients presenting to the rhinology clinic of a tertiary referral center between March 2023 and March 2024 with a diagnosis of CRSwNP and normal laryngeal examination were recruited. Subjects matched by age and gender and with no history of CRSwNP and normal laryngeal examination were recruited as controls. Primary voice outcome measures consisted of the Voice Handicap Index-10 (VHI-10) and acoustic/aerodynamic parameters including percent shimmer, percent jitter, noise-to-harmonic ratio, voice turbulence index, and maximum phonation time.

Results: A total of 58 patients were included and divided into a study group (n=29 cases), and a control group (n=29). There was a statistically significant difference in the mean VHI-10 score of the study group compared to the control group (8.14±4.01 vs. 2.79±2.73, p<0.001). Moreover, there was a moderate to strong correlation between the VHI-10 score and the SNOT-22 score (r= 0.612; p<0.001). There was no significant difference in any of the acoustic and aerodynamic parameters between the study group and control group (p>0.05).

Conclusion: Patients with CRSwNP are more likely to have vocal symptoms that impact their quality of life in comparison to controls. Early recognition of these vocal symptoms should prompt early treatment to avoid any structural or functional voice disorders.

慢性鼻窦炎和鼻息肉病患者的声音评价:病例系列和文献回顾。
慢性鼻窦炎(CRS)是一种常见的致残疾病,影响5-12%的普通人群。由于越来越多的人在专业上依赖于他们的声音,CRS对声音的影响已经引起了人们的兴趣。先前的研究显示,由于不同的研究群体和不同的结果测量,结果不一致。本研究的目的是探讨慢性鼻窦炎和鼻息肉病(CRSwNP)患者和喉检查正常的一大同质组的声音特征。方法:招募2023年3月至2024年3月在某三级转诊中心鼻科就诊,诊断为CRSwNP且喉部检查正常的成年患者。招募年龄和性别匹配、无CRSwNP病史和喉部检查正常的受试者作为对照。主要的声音指标包括声音障碍指数-10 (VHI-10)和声学/空气动力学参数,包括闪烁百分比、抖动百分比、噪声与谐波比、声音湍流指数和最大发声时间。结果:共纳入58例患者,分为研究组(n=29例)和对照组(n=29例)。研究组VHI-10平均评分与对照组比较,差异有统计学意义(8.14±4.01∶2.79±2.73,p0.05)。结论:与对照组相比,CRSwNP患者更容易出现影响其生活质量的声音症状。及早发现这些发声症状应及早治疗,以避免任何结构性或功能性发声障碍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Folia Phoniatrica et Logopaedica
Folia Phoniatrica et Logopaedica AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
2.30
自引率
10.00%
发文量
28
审稿时长
>12 weeks
期刊介绍: Published since 1947, ''Folia Phoniatrica et Logopaedica'' provides a forum for international research on the anatomy, physiology, and pathology of structures of the speech, language, and hearing mechanisms. Original papers published in this journal report new findings on basic function, assessment, management, and test development in communication sciences and disorders, as well as experiments designed to test specific theories of speech, language, and hearing function. Review papers of high quality are also welcomed.
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