Revista Brasileira de Otorrinolaringologia | |
Videolaryngostroboscopy and voice evaluation in patients with rheumatoid arthritis | |
Dedivitis, Rogério Aparecido1  Barros, Ana Paula Brandão2  Castro, Mario Augusto Ferrari de3  Pfuetzenreiter Júnior, Elio Gilberto4  | |
[1] Fundação LusÃada;Hospital Santo Amaro;Santa Casa da Misericpordia de Santos;Universidade de São Paulo | |
关键词: arthritis; rheumatoid; laryngoscopy; larynx; voice.; | |
DOI : 10.5935/1808-8694.20120019 | |
学科分类:医学(综合) | |
来源: Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial | |
【 摘 要 】
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.
【 授权许可】
CC BY
【 预 览 】
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