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Verma H, Shah J, Singh A, Singh S, Sharma B, Shukla B. Audiological, Phonatory and Cardiac Correlates of Individuals Exposed to Low-Frequency Noise or at Risk of Vibroacoustic Disease. Int Arch Otorhinolaryngol 2023; 27:e478-e486. [PMID: 37564480 PMCID: PMC10411170 DOI: 10.1055/s-0042-1750160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 04/24/2022] [Indexed: 10/16/2022] Open
Abstract
Introduction Low-frequency noise (LFN) is hazardous to hearing. Long-term exposure to LFN may lead to vibroacoustic disease (VAD), which not only affects a specific organ but the physiological function of entire systems, such as the auditory, phonatory, respiratory, and cardiac systems. Moreover, VAD may lead to many psychological problems and hence affect the quality of life. Objective To investigate the adverse effects of LFN on hearing, acoustic and perceptual correlates of the voice, blood pressure, cardiac rate, and anxiety level. Method A total of 20 subjects exposed to LFN and 20 not exposed to LFN were included, and a detailed case history was recorded. The patients were submitted to pure tone audiometry, otoscopic examination, acoustic and perceptual analyses of the voice, maximum phonation time, and an assessment of the s/z ratio. We also assessed blood pressure, and the results of a voice-related quality of life questionnaire and of the Hamilton anxiety rating scale. Results The results indicate that LFN had an adverse impact on the high-frequency threshold. The present study found a significant difference in shimmer and harmonics-to-noise ratio (HNR) values. Few subjects had high blood pressure and showed the sign of anxiety on the Hamilton anxiety rating scale. Conclusion Low-frequency noise has adverse effects on entire systems of the body and causes many psychological issues, which, in turn negatively affect quality of life.
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Affiliation(s)
- Himanshu Verma
- Department of Otolaryngology, Speech and Hearing Unit, PGIMER, Chandigarh, India
| | - Jyoti Shah
- Department of Audiology and Speech-Language Pathology, Ashtavakra Institute of Rehabilitation Sciences & Research, Rohini, New Delhi, India
| | - Apurva Singh
- Department of Audiology and Speech-Language Pathology, Listening Ears, Jasola, New Delhi, India
| | - Shakshi Singh
- Department of Audiology & Speech Language Pathology, SGT Medical College Hospital and Research Institute, Gurugram, Haryana, India
| | - Bhawna Sharma
- Department of Audiology and Speech-Language Pathology, Angels Foundation, Gurugram, Haryana, India
| | - Bhanu Shukla
- School of Communication Sciences and Disorders, University of Memphis, Memphis, Tennessee, United States
- Institute for Intelligent Systems, University of Memphis, Memphis, Tennessee, United States
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Silverman MA, Ebenhoeh A, Wu P, Jiang JJ. Optimizing Aerodynamic Vocal Parameters by Varying Supraglottic Pressure Using "Controlled Supraglottic Pressure Phonation" in Healthy Subjects. J Voice 2023:S0892-1997(23)00109-1. [PMID: 37183164 PMCID: PMC10641257 DOI: 10.1016/j.jvoice.2023.03.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/22/2023] [Accepted: 03/22/2023] [Indexed: 05/16/2023]
Abstract
OBJECTIVE The objective of this study is to introduce a novel method for semi-occluded vocal tract (SOVT) therapy called "controlled supraglottic pressure phonation," determine the mechanism by which supraglottic pressure contributes to lowering impedance during SOVT therapy, and provide the optimal supraglottic pressure range for SOVT exercises. METHODS Twenty-five human subjects were assigned to one of five supraglottic pressure levels, 0, 2, 4, 6, and 8 cmH2O, which were controlled through a continuous positive airway pressure device. Subjects were asked to phonate during both a short- and long-duration task, in which vocal properties were measured before and after. At the end of each task, the subjects reported the levels of discomfort and phonation difficulty on a 0-10 scale to assess the subjective improvement of vocal economy. RESULTS Significant differences were observed between pre- and post-task measurements for phonation threshold pressure for both the short-duration and long-duration tasks. Phonation threshold flow and frequency measurements were found to have no statistically significant differences. The subjective measures showed elevated discomfort in the higher pressure inputs for both tasks relative to no air. CONCLUSION Higher supraglottic pressure levels will improve ease of phonation, but the treatment discomfort needs to be considered as well, yielding an optimal supraglottic pressure range of 4-6 cmH2O. "Controlled supraglottic pressure phonation" serves as an alternative to straw phonation that may produce additional benefits.
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Affiliation(s)
- Matthew A Silverman
- Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of Wisconsin, Madison, Wisconsin
| | - Adam Ebenhoeh
- Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of Wisconsin, Madison, Wisconsin
| | - Pinhong Wu
- Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of Wisconsin, Madison, Wisconsin
| | - Jack J Jiang
- Department of Surgery, Division of Otolaryngology Head and Neck Surgery, University of Wisconsin, Madison, Wisconsin.
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Onen C, Golac H, Tunc Songur E, Kemaloglu YK. Acoustic and Auditory-Perceptual Analysis of Voice in the Female Smokers Who Do Not Have Self-Reported Voice Complaint. J Voice 2023; 37:297.e1-297.e6. [PMID: 33451894 DOI: 10.1016/j.jvoice.2020.12.050] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2020] [Revised: 12/19/2020] [Accepted: 12/21/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Smoking affects the voice quality and the previous studies presented higher Voice Handicap Index (VHI) scores, and abnormal acoustic data in smokers. However, there is no study revealing any voice parameter indicating incipient damage in voice functionality. The studies documented that the adverse effects of smoking on phonatory function were higher in females than males and further the prevalence of smoking among females tends to increase. The purpose of this study was to investigate the effect of smoking on the acoustic and auditory-perceptual analysis of the speaking voice in female smokers who scored the VHI-10 scale as grade 0 (absent), and thus to look for a criterion for incipient vocal damage of smoking. METHODS The study group composed of 22 female smokers and 22 female nonsmokers between the ages of 18 and 55 years. The acoustic parameters (mean F0, jitter local [%], jitter local abs, jitter rap, jitter ppq, shimmer local [%], shimmer local [dB], shimmer apq3, shimmer apq5, shimmer apq11, and mean HNR) and the GRBAS scale were analyzed in all subjects. RESULTS No significant difference observed between the smoker and nonsmokers groups in acoustic voice analysis. It was seen that the smokers presented a small but significant increase in the Strain parameter of the GRBAS scale while there was no significant difference in the Grade, Roughness, Breathiness, and Asthenia parameters between the study groups. CONCLUSION The results of this study indicate that increase in Strain could be considered as an early data in the smokers without voice complaints. However, our data declared that conventional acoustic perturbation analysis did not reveal incipient Strain in voice.
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Affiliation(s)
- Cigdem Onen
- Department of Speech and Language Therapy, Ankara Yildirim Beyazit University, Ankara, Turkey.
| | - Hakan Golac
- Department of Speech and Language Therapy, Gazi University, Ankara, Turkey
| | - Elif Tunc Songur
- Department of Speech and Language Therapy, Selcuk University, Konya, Turkey
| | - Yusuf Kemal Kemaloglu
- Department of Otorhinolaryngology and Head-Neck Surgery, Gazi University, Ankara, Turkey.
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Glover M, Duhamel MF. Assessment of Two Audio-Recording Methods for Remote Collection of Vocal Biomarkers Indicative of Tobacco Smoking Harm. ACOUSTICS AUSTRALIA 2023; 51:39-52. [PMCID: PMC9511443 DOI: 10.1007/s40857-022-00279-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 08/24/2022] [Indexed: 01/11/2024]
Abstract
This study aimed to determine if self-complete at-home recordings could produce audio samples of sufficient quality for use in voice analysis software, and if audio samples of similar or sufficient quality could be extracted from audio-recorded naturalistic phone interviews. Data were obtained from 31 adults aged 18 years and over who smoked. The /a/ sound segment was manually isolated, and analysis functions were used to produce the following values: fundamental frequency, jitter, shimmer, noise ratio, formant 3, and formant 4. The /a/ sound segment was then manually isolated from audio recordings of naturalistic interviews previously conducted by phone. These were analysed in the same way and compared for quality against Evistr-recorded audio samples from the same participants. A third audio sample consisted of an Evistr or phone-recorded sustained phonation of the /a/ sound. Means and standard deviations were calculated for the target vocal parameters. Statistical comparisons for quality of sound segment were conducted for readings, interviews, and vowel phonation and for sound signals extracted via both recording methods. Self-recording by adults who smoked provided audio samples of sufficient quality for analysis of vocal features that have been associated with a clinical outcome. The values obtained for sustained phonation audio samples displayed the least perturbation and noise for the vocal parameters surveyed. Sound signals recorded with smartphones appeared to be affected by electronic interference but have potential for use in diagnostic tools for measuring vocal parameters.
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Affiliation(s)
- Marewa Glover
- Centre of Research Excellence: Indigenous Sovereignty and Smoking, PO Box 89186, Torbay, Auckland, 0742 New Zealand
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Raghuwanshi N, Mundra A, Dubey NK, Godha S, Mundra R. Multimodal Analysis of Dysphonia in Smokers: A Two Year Comprehensive Study. Indian J Otolaryngol Head Neck Surg 2022; 74:4948-4953. [PMID: 36742499 PMCID: PMC9895596 DOI: 10.1007/s12070-021-02419-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2020] [Accepted: 01/25/2021] [Indexed: 02/07/2023] Open
Abstract
To study the specific effects of smoking on laryngeal mucosa and voice using video-stroboscopy, subjective and objective voice analysis. This cross-sectional and observational study was carried out in the Department of Otorhinolaryngology, M.G.M. Medical College & M.Y. Hospital, Indore on 103 subjects with dysphonia (49 smokers and 54 non-smokers), between October 2018 to October 2020. After detailed history and general examination, all the cases underwent video-stroboscopic analysis and voice analysis by simple parameters-Maximum Phonation Time (M.P.T.) & s/z score. The cases answered the Voice Related Quality Of Life questionnaire (V.R.Q.O.L.). The observations between smokers and non-smokers were compared. Statistically significant (P < 0.05) associations were observed between smoking and various vocal fold pathological characteristics. There was statistically significant association of smoking with overall possibility of benign vocal fold lesions (P = 0.0129). Significant association was noted of smoking with specific lesions like leukoplakia (P = 0.02), erythema (P = 0.0161) and Reinke's edema (P = 0.322). The mean M.P.T. was 9.5 s in smokers and 11 s in non-smokers. We observed statistically significant relationship between smoking and abnormal s/z ratio (P = 0.0165). This study shows the observable effects of smoking on vocal fold micro-anatomy and voice. Dysphonia was primary complaint in both groups, but all observations were worse in smokers, indicating harmful effects of smoking.
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Affiliation(s)
- Neha Raghuwanshi
- Department of E.N.T, M.G.M. Medical College, 104 President Regency, 3/5 Manoramaganj, Indore, 452001 India
| | - Aparaajita Mundra
- Department of E.N.T, M.G.M. Medical College, 104 President Regency, 3/5 Manoramaganj, Indore, 452001 India
| | - Neeraj Kumar Dubey
- Department of E.N.T, M.G.M. Medical College, 104 President Regency, 3/5 Manoramaganj, Indore, 452001 India
| | - Surbhi Godha
- Department of E.N.T, M.G.M. Medical College, 104 President Regency, 3/5 Manoramaganj, Indore, 452001 India
| | - Rajkumar Mundra
- Department of E.N.T, M.G.M. Medical College, 104 President Regency, 3/5 Manoramaganj, Indore, 452001 India
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Easwaran M, Martinez JD, Kim JB, Erickson-DiRenzo E. Modulation of mouse laryngeal inflammatory and immune cell responses by low and high doses of mainstream cigarette smoke. Sci Rep 2022; 12:18667. [PMID: 36333510 PMCID: PMC9636197 DOI: 10.1038/s41598-022-23359-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 10/31/2022] [Indexed: 11/06/2022] Open
Abstract
Cigarette smoking is a major risk factor for laryngeal diseases. Despite well-documented cigarette smoke (CS) induced laryngeal histopathological changes, the underlying immunopathological mechanisms remain largely unexplored. The goal of this study was to evaluate inflammatory and immune cell responses in a CS-exposed larynx. Specifically, we used a 4-week subacute whole-body CS inhalation mouse model to assess these responses in the laryngeal mucosa upon exposure to low (LD; 1 h/day) and high dose (HD; 4 h/day) CS. Laryngeal tissues were harvested and evaluated using a 254-plex NanoString inflammation panel and neutrophil/macrophage/T-cell immunohistochemistry (IHC). NanoString global and differential gene expression analysis revealed a unique expression profile only in the HD group, with 26 significant differentially expressed genes (DEGs). StringDB KEGG pathway enrichment analysis revealed the involvement of these DEGs with pro-inflammatory pathways including TNF/TNFα and IL-17. Furthermore, inflammatory responses remained inhibited in conjunction with predicted activated states of anti-inflammatory regulators like PPARγ and NFE2L2 upon Ingenuity Pathway Analysis (IPA). Subglottic T-cell levels remained significantly inhibited as corroborated by IPA predictions. Overall, our key findings are consistent with HD exposures being anti-inflammatory and immunosuppressive. Furthermore, the identification of important regulatory genes and enriched pathways may help improve clinical interventions for CS-induced laryngeal diseases.
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Affiliation(s)
- Meena Easwaran
- Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA
- Department of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA, USA
| | - Joshua D Martinez
- Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA
| | - Juyong Brian Kim
- Department of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA, USA
| | - Elizabeth Erickson-DiRenzo
- Division of Laryngology, Department of Otolaryngology-Head and Neck Surgery, Stanford University School of Medicine, Stanford, CA, USA.
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Alshuhayb BS, Alkhars AZ, AlMaghlouth MK, Alkhars FS, Alamer ZA, Alarfaj AA, AlYahya KA. Voice Disorders Among Teachers in Al-Ahsa, Eastern Region, KSA: Vocal Complaints, Treatment-Seeking Behaviors, and Knowledge of Vocal Care. J Voice 2022:S0892-1997(22)00204-1. [PMID: 35970654 DOI: 10.1016/j.jvoice.2022.07.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2022] [Revised: 07/03/2022] [Accepted: 07/05/2022] [Indexed: 10/15/2022]
Abstract
BACKGROUND Voice disorders are a serious and common complaint among teachers, yet there are no published studies on these conditions in the context of Al-Ahsa city in the eastern region of the Kingdom of Saudi Arabia. This study analyzed the vocal complaints of Saudi teachers, investigated their treatment-seeking behaviors, and assessed their knowledge of vocal care. METHODS A cross-sectional online survey was randomly distributed to 604 Saudi teachers from December 2021 to March 2022. The data included sociodemographic characteristics, academic statuses, vocal symptoms and their effects, and attitudes toward voice problems. Statistical analysis was done using the Statistical Package for the Social Sciences (v. 23). Categorical variables were expressed as frequencies and percentages. A chi-square test was conducted to verify the association between the categorical variables. RESULTS Of the participants, 62.1% were female. 65.4% reported having voice-related problems, with the most frequently reported symptoms being hoarseness (68.35%), throat dryness (60.76%), and sore throat (56.46%). Out of the participants who reported voice problems, 32.15% stated being affected by absenteeism from school. Only a minority of teachers sought medical help (5.1%) or received information about the vocal care (29.5%). The factors that were found to be significantly associated with voice complaints include female gender, positive family history of vocal disorders, speaking in a loud voice, being non-smoker, and having the high number of classes per week (P < 0.05). CONCLUSION Voice-related complaints were highly prevalent among Saudi teachers for multiple factors, most of which were manageable. This study strongly recommends the vocal educational programs to be implemented during student teacher training.
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Affiliation(s)
| | | | | | | | - Zainab A Alamer
- King Faisal University, College of Medicine, Al Ahsa, Saudi Arabia
| | | | - Khalid A AlYahya
- King Faisal university, department of surgery otolaryngology unit.
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Azar SS, Chhetri DK. Phonation Threshold Pressure Revisited: Effects of Intrinsic Laryngeal Muscle Activation. Laryngoscope 2021; 132:1427-1432. [PMID: 34784055 DOI: 10.1002/lary.29944] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2021] [Revised: 10/29/2021] [Accepted: 11/05/2021] [Indexed: 11/10/2022]
Abstract
OBJECTIVES/HYPOTHESIS Phonation threshold pressure (Pth ) is the minimum subglottic pressure required to reach phonation onset and is considered a marker for vocal efficiency and health. We investigated the effects of intrinsic laryngeal muscle (ILM) activation on Pth . STUDY DESIGN In vivo animal study. METHODS In an in vivo canine phonation model, laryngeal adductor muscles were activated together by stimulation of the recurrent laryngeal nerves (RLNs) and individually via stimulation of respective terminal nerve branches. Cricothyroid (CT) muscles were activated via stimulation of the superior laryngeal nerves. ILMs were activated in a graded manner at various combinations as transglottal airflow was gradually increased. Aerodynamic and glottal posture parameters were measured at phonation onset. RESULTS Graded RLN stimulation decreased glottal distance and increased Pth . Thyroarytenoid (TA) muscle activation alone increased Pth . Lateral cricoarytenoid (LCA) muscle activation alone had minimal effects. However, graded TA activation as a function of LCA activation level revealed a synergistic relationship between the two muscles in increasing Pth . Effects of CT activation were dependent on adductor stimulation level: CT activation increased Pth at low RLN stimulation levels and decreased Pth at high RLN levels. CONCLUSIONS The effects of ILM activation on Pth were consistent with their expected effects on vocal fold stiffness and tension. TA was the primary adductor controlling Pth . While LCA alone had minimal effects on Pth , it enhanced the role of TA in controlling Pth . TA and CT have antagonistic roles in controlling Pth . These relationships should be considered in clinical efforts to improve ease of phonation and vocal efficiency. LEVEL OF EVIDENCE N/A, basic science Laryngoscope, 2021.
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Affiliation(s)
- Shaghauyegh S Azar
- Department of Otolaryngology-Head and Neck Surgery, University of California Los Angeles, Los Angeles, California, USA
| | - Dinesh K Chhetri
- Department of Otolaryngology-Head and Neck Surgery, University of California Los Angeles, Los Angeles, California, USA
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Saki N, Zamani P, Bayat A, Nikakhlagh S, Moghateli N, Salmanzadeh S. Auditory-Perceptual Evaluation of Vocal Characteristics in Patients with the New Coronavirus Disease 2019. Folia Phoniatr Logop 2021; 74:230-237. [PMID: 34348298 PMCID: PMC8450857 DOI: 10.1159/000518341] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2021] [Accepted: 07/05/2021] [Indexed: 01/19/2023] Open
Abstract
INTRODUCTION Due to the upper and lower respiratory involvement in coronavirus disease 2019 (COVID-19), the voice quality of these patients is expected to be impaired. In this study, we aimed to conduct an auditory-perceptual evaluation of the vocal characteristics of patients with different severities of COVID-19. METHODS One hundred two patients with mild, moderate, or severe COVID-19 as well as 30 healthy individuals were recruited to compare their respiratory/phonatory parameters. The Persian version of the CAPE-V and GRBAS scales, along with the maximum phonation time and s/z ratio values were used to evaluate the severity of respiratory/phonatory disorders during verbal tasks in the participants. RESULTS Significant differences were found between the subgroups of patients and their healthy counterparts in all respiratory/phonatory parameters (p ≤ 0.03) except the s/z ratio (p = 0.81). CONCLUSIONS Based on auditory-perceptual assessments, patients with COVID-19 showed dysphonia. The severity of dysphonia was significantly different among patients with different severities of COVID-19. Smoking can also play a significant role in vocal dysfunction in COVID-19 patients.
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Affiliation(s)
- Nader Saki
- Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Peyman Zamani
- Speech Therapy Department, School of Rehabilitation Sciences, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Arash Bayat
- Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Soheila Nikakhlagh
- Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Nahid Moghateli
- Hearing Research Center, Clinical Sciences Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Shokrollah Salmanzadeh
- Infectious and Tropical Diseases Research Center, Health Research Institute, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Alarouj H, Althekerallah JM, AlAli H, Ebrahim MA, Ebrahim MAK. A Comparative Study Utilizing the Voice Handicap Index-10 (VHI-10) in Teachers and the General Population of Kuwait. J Voice 2020; 36:289.e1-289.e10. [PMID: 32576523 DOI: 10.1016/j.jvoice.2020.05.006] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2020] [Revised: 05/10/2020] [Accepted: 05/18/2020] [Indexed: 10/24/2022]
Abstract
OBJECTIVES The objective of this study was to determine the prevalence of voice handicap perception of teachers in Kuwait and compare them within the general population by using the validated Arabic version of the voice handicap index-10 (VHI-10). Moreover, we explored variations within the teaching profession itself with regards to specific characteristics. METHODS The study was a cross-sectional survey design, in which participants from all governates of Kuwait (1820 teachers and 755 controls) completed the validated Arabic VHI-10, health-related, and demographic questions. The questionnaires were distributed among a random sample of elementary, middle, and high school teachers of both genders, and a random sample of the control population. RESULTS The mean VHI-10 of teachers was significantly higher than nonteachers (mean VHI-10 of teachers = 5.7, mean VHI-10 of nonteachers = 3.7, P < 0.001). Furthermore, there was a significant difference between teachers and controls in those who scored >11 in the VHI-10 (>11 = 17.6%, 10.2% respectively, P = <0.001). Female teachers scored a higher mean VHI-10 than male teachers (B = 0.66, P < 0.001). There was no difference in the mean VHI-10 among the different teaching class levels. However, elementary school teachers were the most group to exceed the cut-off point (VHI-10 >11) (Odds Ratio = 1.38, P = 0.04). With regards to smoking, we found no difference in the mean VHI-10 and scoring >11 in the questionnaire. Art and science teachers had the highest mean VHI-10 (P = 0.005 and 0.03, respectively). CONCLUSION The results of the study revealed a higher perception of voice handicap in teachers than nonteachers. Therefore, emphasis should be on teachers in order to prevent voice damage.
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Affiliation(s)
- Hamoud Alarouj
- ENT department, Farwaniya Hospital, Ministry of Health, Kuwait City, Kuwait
| | - Jasem M Althekerallah
- Internal Medicine Department, Mubarak Al-Kabeer Hospital, Ministry of Health, Kuwait City, Kuwait
| | - Hussain AlAli
- General Surgery Department, Mubarak Al-Kabeer Hospital, Ministry of Health, Kuwait City, Kuwait
| | - Mohammad A Ebrahim
- General Surgery Department, Mubarak Al-Kabeer Hospital, Ministry of Health, Kuwait City, Kuwait
| | - Mahmoud A K Ebrahim
- ENT department, Farwaniya Hospital, Ministry of Health, Kuwait City, Kuwait.
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Kim SY, Lim H, Choi HG. Smoking and Alcohol Consumption Are Associated With the Increased Risk of Peritonsillar Abscess. Laryngoscope 2020; 130:2833-2838. [PMID: 32040204 DOI: 10.1002/lary.28510] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Revised: 11/08/2019] [Accepted: 01/04/2020] [Indexed: 11/07/2022]
Abstract
OBJECTIVES/HYPOTHESIS The purpose of this study was to evaluate the relationship among smoking, alcohol consumption, and peritonsillar abscess in a Korean population. STUDY DESIGN Individuals ≥40 years old from the Korean National Health Insurance Service-Health Screening Cohort were assessed from 2002 to 2013. METHODS In total, 1,285 peritonsillar abscess participants were matched with 5,140 controls at a ratio of 1:4 with respect to age group, sex, income group, region of residence, hypertension, diabetes, and dyslipidemia. We analyzed the participants' previous histories of smoking (current smokers vs. nonsmokers or past smokers) and alcohol consumption (drinkers vs. nondrinkers) in the peritonsillar abscess and control groups. Peritonsillar abscess was defined using the International Classification of Disease-10 code J36 combined with claim codes for incision and drainage or aspiration. Crude and adjusted odds ratios (ORs) were analyzed using unconditional logistic regression analyses, and 95% confidence intervals (CI) were calculated. RESULTS The rates of smoking and consuming alcohol were higher in the peritonsillar abscess group than in the control group. The adjusted OR of smoking for peritonsillar abscess was 1.23 (95% CI = 1.06-1.44, P = .009), and that of alcohol consumption was 1.18 (95% CI = 1.02-1.36, P = .024). CONCLUSION The odds of smoking and alcohol consumption were increased in peritonsillar abscess patients compared to those in the control group. LEVEL OF EVIDENCE NA Laryngoscope, 2020.
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Affiliation(s)
- So Young Kim
- Department of Otorhinolaryngology-Head & Neck Surgery, CHA Bundang Medical Center, CHA University, Seongnam, Republic of Korea
| | - Hyoseob Lim
- Department of Plastic Surgery, Hallym University Sacred Heart Hospital, Anyang, Republic of Korea
| | - Hyo Geun Choi
- Department of Otorhinolaryngology-Head & Neck Surgery, Hallym University College of Medicine, Anyang, Republic of Korea
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The Effect of Smoking on the Fundamental Frequency of the Speaking Voice. J Voice 2019; 33:802.e11-802.e16. [DOI: 10.1016/j.jvoice.2018.04.001] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 04/02/2018] [Indexed: 11/20/2022]
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Deshpande PS, Manikandan MS. Effective Glottal Instant Detection and Electroglottographic Parameter Extraction for Automated Voice Pathology Assessment. IEEE J Biomed Health Inform 2018; 22:398-408. [DOI: 10.1109/jbhi.2017.2654683] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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Botha A, Ras E, Abdoola S, Van der Linde J. Dysphonia in adults with developmental stuttering: A descriptive study. SOUTH AFRICAN JOURNAL OF COMMUNICATION DISORDERS 2017; 64:e1-e7. [PMID: 28697606 PMCID: PMC5843050 DOI: 10.4102/sajcd.v64i1.347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2016] [Revised: 02/01/2017] [Accepted: 03/20/2017] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Persons with stuttering (PWS) often present with other co-occurring conditions. The World Health Organization's (WHO) International Classification of Functioning, Disability and Health (ICF) proposes that it is important to understand the full burden of a health condition. A few studies have explored voice problems among PWS, and the characteristics of voices of PWS are relatively unknown. The importance of conducting future research has been emphasised. OBJECTIVES This study aimed to describe the vocal characteristics of PWS. METHOD Acoustic and perceptual data were collected during a comprehensive voice assessment. The severity of stuttering was also determined. Correlations between the stuttering severity instrument (SSI) and the acoustic measurements were evaluated to determine the significance. Twenty participants were tested for this study. RESULT Only two participants (10%) obtained a positive Dysphonia Severity Index (DSI) score of 1.6 or higher, indicating that no dysphonia was present, while 90% of participants (n = 18) scored lower than 1.6, indicating that those participants presented with dysphonia. Some participants presented with weakness (asthenia) of voice (35%), while 65% presented with a slightly strained voice quality. Moderately positive correlations between breathiness and SSI (r = 0.40, p = 0.08) have been reported. In addition, participants with high SSI scores also scored a poor DSI of below 1.6, as observed by a moderate positive correlation between SSI and DSI (r = 0.41). CONCLUSION The majority of PWS presented with dysphonia, evident in the perceptual or acoustic parameters of their voices. These results can be used for further investigation to create awareness and to establish intervention strategies for voice disorders among PWS.
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Affiliation(s)
| | | | - Shabnam Abdoola
- Department of Speech-Language Pathology and Audiology, University of Pretoria.
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The role of bacteriological studies in the management of peritonsillar abscess. Auris Nasus Larynx 2016; 43:648-53. [PMID: 26860232 DOI: 10.1016/j.anl.2016.01.009] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Revised: 12/17/2015] [Accepted: 01/14/2016] [Indexed: 11/21/2022]
Abstract
OBJECTIVE Since most patients with peritonsillar abscess (PTA) can be successfully treated with surgical drainage and empirical antibiotic therapy, routine bacteriologic studies for all patients with PTA may be unnecessary. This study tried to evaluate which patients with PTA should certainly undergo bacteriologic studies. METHODS Hundred consecutive patients with PTA were treated and underwent culture tests of purulent contents obtained by surgical drainage between April 2008 and December 2013. RESULTS In 62 of the 100 patients, 71 pathogenic bacteria were identified; 61 (86%) were Gram-positive cocci (GPC), 8 (11%) were Gram-negative rods (GNR), and 6 (8%) were anaerobes. Normal flora were isolated in 27 patients, and culture results were negative in 11 patients. Although not significant, primary (without prior antibiotic therapy) case (odds ratio (OR)=2.19; 95% CI, 0.95-5.05) and laryngeal edema (OR=2.04; 95% CI, 0.82-5.03) showed a tendency of associations with detection of pathogenic bacteria. After taking into account interactions between smoking habit and laryngeal edema, the covariate-adjusted OR for non-smokers with laryngeal edema was significant and showed a strong relationship (OR=7.43; 95% confidence interval, 1.05-52.73) compared to non-smokers without laryngeal edema. CONCLUSION Although empirical antibiotic therapy was effective for most of the PTA patients, bacteriologic studies might be indispensable for the patients with laryngeal edema considering the failure of the first treatments. Particularly, the culture tests may be useful for non-smokers with laryngeal edema.
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A comparative histopathological study of vocal fold polyps in smokers versus non-smokers. The Journal of Laryngology & Otology 2015; 129:484-8. [PMID: 25788125 DOI: 10.1017/s002221511500064x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND A large proportion of patients with vocal fold polyps are cigarette smokers. However, prior to this report no comparative study of polyp histopathology in smokers versus non-smokers had been performed. METHODS A prospective histopathological study of vocal fold polyps excised from 29 patients was undertaken. This comprised a comparative analysis of polyp histopathology in smokers versus non-smokers and a review of the pertinent literature. RESULTS Vocal fold polyps were larger in smokers than in non-smokers. Histopathological features significantly associated with the polyps of smokers versus those of non-smokers were increased keratinisation, dysplasia, a basement membrane thinning and hyaline degeneration. CONCLUSION Cigarette smoke has an injurious effect on vocal fold polyp epithelium and leads to increased hyaline degeneration in polyps.
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