Voice Disorders: Etiology and Diagnosis

Martins, Regina Helena Garcia; Amaral, Henrique Abrantes do; Tavares, Elaine Lara Mendes; Martins, Maira Garcia; Gonçalves, Tatiana Maria; Dias, Norimar Hernandes

doi:10.1016/j.jvoice.2015.09.017

Cited by 179 publications

(123 citation statements)

References 53 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%

“…In 2016, the age, gender, profession and diagnoses of 2019 patients who attended the voice disease ambulatories of a Brazilian university hospital were assessed, disting uishing among 3 occupational statuses: retirees, students, and employed [8].…”

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%

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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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Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Clarós¹,

Porebska²,

Clarós-Pujol³

et al. 2019

JAMA Otolaryngol Head Neck Surg

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IMPORTANCE Pediatric vocal fold pathology is important because having a healthy voice free from disorders is crucial in a child's emotional and educational development. OBJECTIVE To determine whether there is an association between singing in a children's choir and the development of voice disorders. DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study of children (aged 8 to 14 years) singers selected from local children's choirs and nonsingers selected from local schools evaluated at Clarós Otorhinolaryngology Clinic in Barcelona, Spain, from October 2016 through April 2018. EXPOSURES Singing for a mean time of 7.5 hours per week for 2.5 years. MAIN OUTCOMES AND MEASURES The primary outcome of the study was the prevalence of voice disorders measured using videostroboscopy. The obtained values were analyzed statistically and used to compare the characteristics of the children and the frequency of voice disorders between the groups. RESULTS Of 1495 enrolled children (745 male [49.8%]; median age, 9.3 years [range, 8-14 years]), 752 were singers and 743 were nonsingers. No differences in baseline characteristics were observed between the groups. Voice disorders were more frequent in the nonsinging group than in the singing group (32.4% vs 15.6%; difference, 16.8%; 95% CI, 12.3%-21.4%). Of 12 voice disorders considered in this study, all 12 were more frequent in the nonsinging group. Functional voice disorders were more frequent in the nonsinging group than in the singing group (20.2% vs 9.4%; difference, 10.8%; 95% CI, 7.2%-14.3%), as were organic voice disorders (12.2% vs 6.1%; difference, 6.1%; 95% CI, 2.6%-9.6%). CONCLUSIONS AND RELEVANCE Voice disorders were less common among children in the cohort who sing in choirs, possibly because of voice training and the commonly observed habit of attending regular ear, nose, and throat examination. Voice disorders may be prevented in nonsinging children if the same solicitude for voice is observed.

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Voice Disorder Prevalence and Vocal Health Characteristics in Adolescents

Fujiki,

Thibeault

2024

JAMA Otolaryngol Head Neck Surg

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ImportanceVoice disorders impede communication and detract from quality of life, yet little is known about how voice problems present in adolescents. This study characterized the prevalence of voice problems and vocal health characteristics of adolescents throughout the US.ObjectiveTo determine the prevalence of adolescent voice problems in the US as well as the symptoms, voice use patterns, and risk factors associated with these problems.Design, Setting, and ParticipantsThis prospectively performed, cross-sectional survey study conducted from March to June 2023 included a probability sample of adolescents (aged 13-17 years) who were located across the US.Main Outcome and MeasuresAdolescents were surveyed concerning voice use, voice symptoms, demographic information, and substance use patterns. The Vocal Fatigue Index (VFI) was also completed. Fisher exact tests, χ2 tests, and logistic regression were used to compare those with and without reported voice problems.ResultsFive-hundred and two adolescents participated (51.6% participation rate), including 248 female (49.4%), 7 nonbinary (1.3%), 254 male (50.6%), 4 transfemale (0.7%), and 3 transmale individuals (0.5%) (mean [SD] age, 15.2 [1.3] years). The lifetime prevalence of voice problems was 24.3%, and current prevalence was 7.4%. Voice-related diagnoses included dysphonia associated with acute illness, vocal hyperfunction, benign lesions, and muscle tension. The mean (SD) VFI score was 4.7 (8.09) for part 1, 1.6 (3.2) for part 2, and 2.1 (3.2) for part 3. Adolescents with voice complaints presented with significantly higher VFI scores than those without voice problems (Cohen d for part 1 = 0.78, part 2 = 0.59, and part 3 = 0.79). Voice problems interfered with daily tasks, prevented participation in extracurricular activities, limited the ability to sing, and were associated with school absences. Voice use patterns associated with voice problems included frequent loud voice use, coughing, and/or throat clearing. Risk factors for increased voice problem prevalence included part-time employment in childcare (odds ratio [OR], 6.4; 95% CI, 1.6-26.3), singing (OR, 2.08; 95% CI, 1.3-3.1), performance-related extracurricular activities (ie, musical theater [OR, 2.67; 95% CI, 1.1-6.6 ], karaoke [OR, 3.08; 95% CI, 1.3-6.9]), vaping (OR, 1.99; 95% CI, 1.1-3.5), and/or secondhand smoke exposure (OR, 1.83; 95% CI, 1.2-2.7). Adolescents identifying as transgender were more than 4 times (OR, 4.44; 95% CI, 0.63-31.2) as likely to report voice problems compared with cisgender adolescents.ConclusionsThe results of this survey study illuminate the nature of voice problems in adolescents and may guide clinicians in preventing and treating voice disorders in this population. Future work may define the mechanisms through which these factors are associated with the risk for voice disorders in adolescents and determine whether observed relationships are causal or associative.

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Voice Disorders: Etiology and Diagnosis

Cited by 179 publications

References 53 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

Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir

Voice Disorder Prevalence and Vocal Health Characteristics in Adolescents

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