Voice Change in Seasonal Allergic Rhinitis

Millqvist, Eva; Bende, Mats; Brynnel, Moa; Johansson, Inger; Kappel, Sofi; Ohlsson, Ann-Christine

doi:10.1016/j.jvoice.2006.12.003

Cited by 33 publications

(20 citation statements)

References 8 publications

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“…Laryngeal complaints during the pollen season tend to be higher (change from sham TLS of 2.4 § 2.4), compared with the values 3 min after GP (change from sham TLS of 1.4 § 1.1), which may relate to the more chronic nature of allergen exposure during the pollen season, or to oral inhalation during natural allergen exposure rather than nasal provocation as performed here. In the previously mentioned study of Milqvist et al [15], in which self-reported vocal quality in 30 birch pollen allergic patients was studied in the birch pollen season compared with a period outside the pollen season, patients reported a lower general voice quality compared with 30 controls (p < 0.05).…”

Section: Discussionmentioning

confidence: 95%

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Laryngeal effects of nasal allergen provocation in singers with allergic rhinitis

Verguts

Eggermont²,

Decoster³

et al. 2010

Eur Arch Otorhinolaryngol

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In spite of our recent insight into nasobronchial interaction mechanisms in allergic airway disease, the association between allergic rhinitis and voice complaints remains obscure. To evaluate the effects of nasal allergen provocation and seasonal grass pollen exposure on subjective and objective laryngeal parameters in singers with and without allergic rhinitis, an observational case control study was conducted. Prior to the pollen season, six grass pollen allergic and six non-allergic semiprofessional singers were exposed to nebulized sham solution and grass pollen extract (HAL°) in rising concentrations. After 3 min, 60 min and 24 h, nasal and laryngeal complaints were evaluated by the use of a visual analog scale (VAS). Laryngeal parameters like voice appearance (video stroboscopic images), voice range profile and subjective (GRBAS) and objective (jitter, shimmer, H/N, DSI) voice quality were evaluated before provocation, after 60 min and 24 h. During the pollen season, the allergic singers were re-evaluated. Results showed that in allergic singers both nasal (TNS of 4.0 ± 2.4 vs. 0.0 ± 0.0, p < 0.05) and laryngeal complaints (TLS of 1.4 ± 1.1 vs. 0.0 ± 0.2, p < 0.05) were induced at 3 min after the provocation. The induced laryngeal complaints were the feeling of laryngeal irritation, secretions and globus. No change in voice quality or stroboscopy score was measured. During the pollen season, laryngeal complaints were present (TLS of 2.4 ± 2.4) in allergic singers, without evidence for objective voice and laryngeal changes. In conclusion, we here demonstrate the rapid induction of laryngeal complaints in allergic singers by nasal allergen provocation and during the pollen season. There was no subject reported or investigator measured change in voice quality. No change in stroboscopy score was measured.

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Section: Discussionmentioning

confidence: 95%

“…In another study, allergic subjects reported a lower general voice quality and more voice complaints during the pollen season, compared with 30 controls (p < 0.05) [15].…”

Section: Introductionmentioning

confidence: 89%

Laryngeal effects of nasal allergen provocation in singers with allergic rhinitis

Verguts

Eggermont²,

Decoster³

et al. 2010

Eur Arch Otorhinolaryngol

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“…Millqvist et al [12] examined 30 patients with birch pollen allergy and 30 healthy individuals. The participants were examined twice: once in the pollen season (mid-May) and once in October.…”

Section: Discussionmentioning

confidence: 99%

“…They found that all of the patients had vocal problems during the pollen season. They proposed that allergy patients might seek help for voice problems in spring [12]. In Finland, Simberg et al [14] examined 49 patients with allergy and 54 healthy subjects.…”

Section: Discussionmentioning

confidence: 99%

“…Simberg et al [14] found that college students with AR had symptoms such as throat clearing, hoarseness, voice fatigue, voice breaks, the sensation of pain or a lump in the throat, or difficulty being heard. Another study used the voice handicap index (VHI) to observe voice problems in patients with AR, who scored significantly higher on the functional and physical domains of the VHI and the total VHI score compared with control subjects [12]. Dogan et al used acoustic analysis to investigate voice quality in asthmatic patients and found an impairment of voice quality [11].…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Medical Treatment on Voice Quality in Allergic Rhinitis

Develioğlu

Paltura

Koleli

et al. 2013

Indian J Otolaryngol Head Neck Surg

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To evaluate the change in the voice quality of patients with allergic rhinitis (AR) after medical treatment. The study enrolled 69 subjects: 39 with high serum-specific IgE levels to inhalant allergens as the study group and 30 healthy individuals as controls. All patients were evaluated using the total nasal symptom score (TNSS) and voice handicap index-10 (VHI-10) and then underwent an acoustic voice analysis. After 1 month of treatment with mometasone furoate nasal spray (two 50-lg puffs in each nostril once daily) and desloratadine (5-mg tablet once daily), the patients repeated the surveys and acoustic voice analysis. The results before and after treatment were compared. The TNSS and VHI-10 scores decreased significantly after treatment (p \ 0.01). After treatment, the acoustic analysis parameters improved significantly and were similar to the control group, and the maximum phonation time increased significantly (p \ 0.05). The voice quality of patients with AR is improved with medical treatment.

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International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis

Wise

Lin

Toskala

et al. 2018

Int Forum Allergy Rhinol

339

453

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This critical review of the AR literature has identified several strengths; providers can be confident that treatment decisions are supported by rigorous studies. However, there are also substantial gaps in the AR literature. These knowledge gaps should be viewed as opportunities for improvement, as often the things that we teach and the medicine that we practice are not based on the best quality evidence. This document aims to highlight the strengths and weaknesses of the AR literature to identify areas for future AR research and improved understanding.

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Voice Change in Seasonal Allergic Rhinitis

Cited by 33 publications

References 8 publications

Laryngeal effects of nasal allergen provocation in singers with allergic rhinitis

Laryngeal effects of nasal allergen provocation in singers with allergic rhinitis

The Effect of Medical Treatment on Voice Quality in Allergic Rhinitis

International Consensus Statement on Allergy and Rhinology: Allergic Rhinitis

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