Pharyngo-laryngeal dysfunction and severe COPD

IF 1.6 4区医学 Q2 OTORHINOLARYNGOLOGY

European Annals of Otorhinolaryngology-Head and Neck Diseases Pub Date : 2026-09-01 Epub Date: 2026-05-22 DOI:10.1016/j.anorl.2026.05.004

C. Marécaux, M. Poncelet, O. Bonhomme, A. Lagier

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引用次数: 0

Abstract

Objectives

The course of chronic obstructive pulmonary disease (COPD) features episodic exacerbation, contributing to severity. The present study assessed associations between COPD, dysphonia and dysphagia. Laryngeal aspiration is a risk factor for repeated exacerbation of COPD. Certain risk factors are common to COPD and laryngeal pathology; dyspnea impairs phonation and swallowing.

Material and methods

This prospective study included 29 patients with group E COPD outside of exacerbation episodes, and free of neurodegenerative disease and history of head and neck cancer. Phonation and swallowing were assessed concomitantly.

Endpoints

The main study endpoint was the prevalence of phonation and swallowing disorders in severe COPD. The secondary objective was to determine whether vocal disorder is a marker of dysphagia in patients at risk of respiratory infection.

Results

Prevalence of dysphonia and dysphagia was high on objective assessment but underestimated in self-reports. More than 50% of patients showed deficits in at least 1 mechanism of swallowing, and notably delayed triggering of the pharyngeal reflex. Only the s/z ratio was significantly associated with dysphagia.

Conclusion

Dysphagia and dysphonia are frequent and underestimated in severe COPD. The present study argues for systematic objective screening of swallowing disorder, even in the absence of complaint or dysphonia.

查看原文本刊更多论文

咽喉功能障碍和严重慢性阻塞性肺病。

目的：慢性阻塞性肺疾病（COPD）的病程特点是发作性加重，加重程度。本研究评估了COPD、发音困难和吞咽困难之间的关系。喉误吸是慢性阻塞性肺病反复加重的危险因素。某些危险因素在慢性阻塞性肺病和喉部病理中是共同的；呼吸困难会影响发音和吞咽。材料和方法：本前瞻性研究纳入29例E组COPD患者，无急性加重发作，无神经退行性疾病和头颈癌病史。同时评估发音和吞咽。终点：主要研究终点是严重慢性阻塞性肺病患者发声和吞咽障碍的患病率。次要目的是确定在有呼吸道感染风险的患者中，声带障碍是否是吞咽困难的标志。结果：客观评价中语音障碍和吞咽困难的患病率较高，自我报告中患病率较低。超过50%的患者表现出至少一种吞咽机制的缺陷，特别是咽反射的延迟触发。只有s/z比值与吞咽困难显著相关。结论：重度慢性阻塞性肺病患者吞咽困难和发音困难较为常见，但常被低估。本研究主张对吞咽障碍进行系统客观的筛查，即使在没有主诉或发声障碍的情况下。

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

European Annals of Otorhinolaryngology-Head and Neck Diseases OTORHINOLARYNGOLOGY-

CiteScore

3.70

自引率

28.00%

发文量

审稿时长

12 days

期刊介绍： European Annals of Oto-rhino-laryngology, Head and Neck diseases heir of one of the oldest otorhinolaryngology journals in Europe is the official organ of the French Society of Otorhinolaryngology (SFORL) and the the International Francophone Society of Otorhinolaryngology (SIFORL). Today six annual issues provide original peer reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches and review articles giving most up-to-date insights in all areas of otology, laryngology rhinology, head and neck surgery. The European Annals also publish the SFORL guidelines and recommendations.The journal is a unique two-armed publication: the European Annals (ANORL) is an English language well referenced online journal (e-only) whereas the Annales Françaises d’ORL (AFORL), mail-order paper and online edition in French language are aimed at the French-speaking community. French language teams must submit their articles in French to the AFORL site. Federating journal in its field, the European Annals has an Editorial board of experts with international reputation that allow to make an important contribution to communication on new research data and clinical practice by publishing high-quality articles.