The Relationship Between Dysphonia and Sinusitis

Cecil, Michael P.; Tindall, Lyn; Haydon, Richard C.

doi:10.1016/s0892-1997(01)00027-3

Cited by 15 publications

(11 citation statements)

References 7 publications

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“…Impairments in the resonance due to an allergy prior to the development of the polyposis allows sufficient time for a conscious or unconscious voice change with correction that affect the voice analysis parameters. This view was also supported by Cecil et al [22]. In their study, they observed non-significant decreases in mean F 0 , mean intensity, and mean perturbation in patients with chronic sinusitis compared to the disease-free control group.…”

Section: Discussionsupporting

confidence: 68%

Changes in Acoustic Parameters of Voice After Endoscopic Sinus Surgery in Patients with Nasal Polyposis

Acar

Çayönü

Ozman

et al. 2014

Indian J Otolaryngol Head Neck Surg

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Our aim was to evaluate acoustic voice analysis of patients diagnosed with nasal polyps before and after endoscopic sinus surgery. Forty-three patients diagnosed with nasal polyposis who had undergone endoscopic sinus surgery were included in this prospective study. Patients were divided into three groups according to the stage of nasal obstruction before the surgery. Acoustic voice analyses were performed on each patient before the endoscopic sinus surgery and six weeks following the surgery with the multi-dimensional voice program. Jitter, shimmer, F0 frequency, and noise to harmonic ratio (NHR) parameters were obtained for acoustic analysis. Our investigation showed that Jitter, shimmer and NHR values decreased, and F0 value increased in the postoperative period in patients that had a partial nasal obstruction before the surgery. Non-significant increases were also observed in these four parameters after the surgery in cases with total or near-total nasal obstruction. We also found that the postoperative changes in shimmer values between the Stage III patients and the patients in other stages were statistically significant (P = 0.027). Voice changes that became more marked with increasing stages of the nasal polyposis. According to our results, patients should be informed of the possible alterations in speech following major surgical interventions on the paranasal sinuses.

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Section: Discussionsupporting

confidence: 68%

Changes in Acoustic Parameters of Voice After Endoscopic Sinus Surgery in Patients with Nasal Polyposis

Acar

Çayönü

Ozman

et al. 2014

Indian J Otolaryngol Head Neck Surg

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“…Another consideration for these results, beyond changes to vocal resonance, are changes to the vocal folds themselves with CRSwNP. CRSwNP is an inflammatory process, which could lead to release of inflammatory mediators in postnasal secretions . This in turn could result in inflammation and alteration of vocal fold mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…CRSwNP is an inflammatory process, which could lead to release of inflammatory mediators in postnasal secretions. 15 This in turn could result in inflammation and alteration of vocal fold 16 Children between the ages of 4 and 12 years with various etiologies of nasal obstruction, with adenoid hypertrophy and allergic rhinitis being the most predominant, were compared to a control group. Children in the nasal obstruction group were found to have a dysphonia rate of 76.6% based on a questionnaire filled out by parents as well as higher scores for the Grade, Roughness, Breathiness, Asthenia, Strain scale.…”

Section: Discussionmentioning

confidence: 99%

Voice outcomes after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis

et al. 2018

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Objectives/Hypothesis The purpose of this study was to assess voice outcomes after endoscopic sinus surgery (ESS) in patients with chronic rhinosinusitis with nasal polyposis (CRSwNP). Study Design Individual cohort study. Methods A study was performed of patients with CRSwNP who underwent ESS from July 2015 to May 2016 at a tertiary referral medical center. The main outcome measures were subjective improvement in patient‐reported outcomes, using the 22‐item Sino‐Nasal Outcome Test (SNOT‐22) and 10‐item Voice Handicap Index (VHI‐10). Results A total of 50 patients (age 47.9 years; 48% female), 66% revision and 34% primary, were available at a follow‐up of 3 months. At the 3‐month follow‐up, both SNOT‐22 and VHI‐10 scores were improved from preoperative values (−41.8 and −14.7, respectively). Conclusions Successful treatment of sinonasal disease can help to improve voice outcomes in patients with CRSwNP. There are inherent differences in the long‐term outcomes of the results beyond 3 months based on practice patterns of ongoing medical management, but our results are interesting in that they show early improvement in voice outcomes. Level of Evidence 2b Laryngoscope, 129:299–302, 2019

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“…Zudem verursacht die persistierende postnasale Sekretion einen ständigen Entzündungsreiz [ 4 ] . Eine akute oder chronische Tracheobronchitis sowie eine Dysphonie bei Beteiligung der Schleimhäute im Bereich der Glottis können die Folge sein [ 5 ] . In der Fachliteratur ist der kausale Zusammenhang zwischen Dysphonie als Folge einer (Rhino)Sinusitis jedoch nicht unumstritten [ 6 ] .…”

Section: Mitbeteiligung Von Larynx Und Stimmfunktion Bei Chronischer unclassified

Dysphonie und sinubronchiales Syndrom

Offergeld

Scholz

Sorichter

2011

Sprache Stimme Gehör

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Zusammenfassung ▼Der Begriff "Sinubronchiales Syndrom" ist nicht einheitlich defi niert. Es beschreibt im Wesentlichen eine funktionelle Verknüpfung der oberen und unteren Atemwege mit wechselseitiger Beeinfl ussung der jeweiligen Strukturen. Die Diagnose eines sinubronchialen Syndroms wird i. d. R. im Ausschlussverfahren nach Überprü-fung einer allergischen bzw. pseudoallergischen Disposition oder einer Refl uxerkrankung gestellt. Als kausaler Pathomechanismus wird der Transport nasalen Sekrets in Richtung der unteren Atemwege im Sinne eines "Post nasal drip syndrome" diskutiert. Dies führt zu Irritationen der unteren Atemwege als Folge einer Schleimhauterkrankung der oberen Atemwege. Kommt es zur Mitbeteiligung des Stimmapparats, kann als klinische Manifestation eine Dysphonie beobachtet werden. Diff erenzialdiagnostisch müssen bei einer Dysphonie im Rahmen eines sinubronchialen Syndroms eine chronische Rhinosinusitis, chronischer Husten und das hyperreagible Bronchialsystem näher abgeklärt werden. Als seltene Ursachen kommen hyperrefl ektorische Rhinopathie, selektiver IgA-Mangel oder das Kartagener-Syndrom in Frage. Abstract ▼The term "sinobronchial syndrome" is not consistently defi ned as a clinical condition and essentially describes a functional connection between the upper and lower respiratory tracts with impairment of the respective structures. After diagnostic assessment of common diseases such as an allergic or pseudo-allergic disposition or gastroesophageal refl ux disease, the sinobronchial syndrome is generally diagnosed by exclusion. As a causal pathomechanism, the transport of nasal secretion towards the lower respiratory tract in terms of "post-nasal drip syndrome" is discussed. As a consequence of a mucosal disease of the upper respiratory tract, an irritation of the lower respiratory tract's mucosa may result. If vocal chords are involved, dysphonia can be observed as a clinical manifestation. Focusing on dysphonia in the context of sinobronchial syndrome, patients should be further tested for common conditions such as chronic rhinosinusitis, chronic cough and bronchial hyperreactivity. In addition, rare causes of a dysphonia accounting for sinobronchial syndrome such as hyperreactive rhinitis, selective immunoglobulin A defi ciency or Kartagener syndrome should be considered.Bibliografi e DOI http://dx.

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The Relationship Between Dysphonia and Sinusitis

Cited by 15 publications

References 7 publications

Changes in Acoustic Parameters of Voice After Endoscopic Sinus Surgery in Patients with Nasal Polyposis

Changes in Acoustic Parameters of Voice After Endoscopic Sinus Surgery in Patients with Nasal Polyposis

Voice outcomes after endoscopic sinus surgery in patients with chronic rhinosinusitis with nasal polyposis

Dysphonie und sinubronchiales Syndrom

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