Castro MAFD, Dedivitis RA, Pfuetzenreiter Júnior EG, Barros APB, Queija DDS. Videolaryngostroboscopy and voice evaluation in patients with rheumatoid arthritis.
Braz J Otorhinolaryngol 2013;
78:121-7. [PMID:
23108831 PMCID:
PMC9450771 DOI:
10.5935/1808-8694.20120019]
[Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2012] [Accepted: 08/10/2012] [Indexed: 11/20/2022] Open
Abstract
UNLABELLED
Arthritis may affect the larynx and produce symptoms such as hoarseness and vocal fatigue.
OBJECTIVE
This paper aimed to evaluate the laryngeal manifestations of rheumatoid arthritis.
METHODS
This is prospective study assessed 27 patients with rheumatoid arthritis with the aid of videolaryngostroboscopy, auditory-perceptual analysis of the speech using the GIRBAS scale, acoustic analysis and the Voice Handicap Index questionnaire.
RESULTS
Nineteen patients had laryngeal complaints, the main ones being intermittent dysphonia and sensation of a foreign body in the throat. The most frequent laryngoscopical finding was overlapping arytenoids. Three patients had low pitch, nine patients had mild dysphonia and roughness. Median acoustic measures were: F0, 198.39 Hz; Jitter, 0.815; Shimmer, 4.915; and NHR, 0.144. Regarding the Voice Handicap Index, the median score was zero in all domains. There was a statistically significant correlation between voice complaints and the domains of this index. Functional classes were significantly correlated to: overlapping arytenoids (p = 0.001), PPQ (p = 0.0257), Shimmer (p = 0.0295), APQ (p = 0.0195), and the VHI physical (p = 0.0227) and total domains (p = 0.0425).
CONCLUSION
Laryngeal complaints were reported by 70.4% of the patients and laryngoscopical alterations were observed in 48% of the subjects. Voice acoustic evaluation and self-perception were altered.
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