Shifts in Relative Prevalence of Laryngeal Pathology in a Treatment-Seeking Population

Coyle, Suzanne M; Weinrich, Barbara; Stemple, Joseph C.

doi:10.1016/s0892-1997(01)00043-1

Cited by 179 publications

(156 citation statements)

References 14 publications

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“…Several methods have been used for estimating the prevalence of voice problems, including estimations at the household level, based on questionnaires or telephone surveys [1], and at the healthcare provider service level [2][3][4][5][6][7][8][9][10]. At the healthcare provider service level, various studies have attempted to identify the gender, age, diagnosis, occupational status and/or profession of patients who seek help for a voice disorder [2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…At the healthcare provider service level, various studies have attempted to identify the gender, age, diagnosis, occupational status and/or profession of patients who seek help for a voice disorder [2][3][4][5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

“…Fifteen years later, Coyle, Weinrich and Stemple repeated the study with 1158 dysphonic patients treated at the same otolaryngology practices in the same geographic region [9] and compared their findings to those of Herrington-Hall et al [7]. From an American insurance claims database, Cohen et al made a retrospective analysis of 536943 patients diagnosed with dysphonia by primary care physicians and otolaryngologists, taking into account the age and gender [3].…”

Section: Introductionmentioning

confidence: 99%

“…Some studies addressed exclusively the workforce population [4,6], while others also included retirees and occupationally inactive people [5,11]. Several papers reported an exhaustive description of all patients who consulted for dysphonia [7,9,2,10,8]. However, differences in diagnostic categories and/or occupational status categories make comparisons difficult.…”

Section: Introductionmentioning

confidence: 99%

“…Overall, a higher prevalence of dysphonia is seen in women [2][3][4][5][6][7][8][9][10][11] as well as in the working, active, adult population [2,3,8,10]. Among workers, occupational voice users are particularly at risk [2,4,5].…”

Section: Introductionmentioning

confidence: 99%

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Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis

Remacle

Petitfils

Finck

et al. 2016

Eur Arch Otorhinolaryngol

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Purpose. To describe the gender, age, occupational status and diagnosis of dysphonic patients.Method. We retrospectively analyzed the medical records of 1079 patients examined at the Voice clinic of the University hospital of Liège in French-speaking Belgium.Results. Overall, seven out of 10 patients who attended the voice clinic for dysphonia were females. The patients' ages ranged from 4 to 93 (mean=43.5). Females predominantly consulted at the age of 54 and males at the age of 9. Regarding the occupational status, workers represented more than half of our patients (53%), while 11.2% were unemployed, 15.4% were students, and 19.9% were retired. Regarding the diagnoses of the 1079 patients, nodules were the most common pathologies (n=182, 16.9% of the patients), prevailing in females (n=142, 18.8% of the females), encountered in 16.8% of the workers and 42.8% of the students consulting the voice clinic. Following nodules, laryngeal mobility disorders were diagnosed in 16.4% of the patients (n=177), mainly females (n=115), and was the most frequent diagnosis in retirees (n=75, 34.9%). Conclusions. The majority of the patients consulting the voice clinic for dysphonia were adult females, in their workforce, diagnosed with vocal nodules. The identification of the patients' characteristics and diagnoses is important to develop treatments and prevention of dysphonia, estimate their costs, and allow comparisons across referral centers.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis

Remacle

Petitfils

Finck

et al. 2016

Eur Arch Otorhinolaryngol

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Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals

Crawley

Dehom

Thiel

et al. 2018

JAMA Otolaryngol Head Neck Surg

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Presbylaryngis is present in most ambulatory people older than 74 years. Some will endorse pathologic presbyphonia that has a negative effect on their voice and quality of life. Pathologic presbyphonia seems to be influenced by respiratory capacity and sex. Further study is required to isolate other social, physiologic, and general health characteristics that contribute to pathologic presbyphonia.

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Laryngeal dysfunction is prominent in asthmatic women treated by inhaled corticosteroids

Migueres

Delmas²,

Thomas

et al. 2022

Clinical & Translational All

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Background Dysphonia is a frequent comorbidity of asthma and has been suggested to be a local side effect of inhaled corticosteroids due to laryngeal candidiasis. We hypothesized that dysphonia in asthmatics was not due to laryngeal organic lesions but to laryngeal dysfunction during phonation (LDP). Objective We compared the frequency of LDP in female asthmatic patients treated with inhaled corticosteroids to female controls. Methods We compared 68 asthmatic female patients to 53 female control subjects. Pulmonary function tests were performed and the asthmatic patients classified according to the level of inhaled corticosteroids. Dysphonia was defined as a Vocal Handicap Index ≥18 or GRBAS score ≥2. All patients underwent video laryngo‐strobe examination, analyzed blindly and separately by two otolaryngologists, describing mucosal changes, LDP, or Organic lesions linked to Laryngeal Dysfunction during Phonation (OLDP). Results 66.2% of the asthmatic patients exhibited dysphonia and 11.3% of controls ( p < 0.001). No laryngeal candidiasis was found, only 3 patients presented laryngeal mucosa inflammation. LDP was observed in 60.3% of asthmatic patients and 18.9% of controls ( p < 0.001), and no difference was found for OLDP (11.8% vs. 13.2%). No association was made between LDP, the dosage of inhaled corticosteroid, and bronchial obstruction. Conclusions Asthmatic patients were more dysphonic than control subjects. This phenomenon was not explained by mucosal inflammation, laryngeal candidiasis or OLDP. Asthmatic patients had more LDP than controls. There was no relation between LDP, inhaled corticosteroids dosage or bronchial obstruction. These results change our view of inhaled corticosteroid side effects in female asthmatic patients.

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Shifts in Relative Prevalence of Laryngeal Pathology in a Treatment-Seeking Population

Cited by 179 publications

References 14 publications

Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis

Description of patients consulting the voice clinic regarding gender, age, occupational status, and diagnosis

Assessment of Clinical and Social Characteristics That Distinguish Presbylaryngis From Pathologic Presbyphonia in Elderly Individuals

Laryngeal dysfunction is prominent in asthmatic women treated by inhaled corticosteroids

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