Laryngeal and voice disorders in patients with gastroesophageal symptoms. Correlation with pH-monitoring

Acta Cirurgica Brasileira

Regina Helena Garcia Martins²  Anete Branco¹  Elaine Lara Mendes Tavares¹  Renata Mizusaki Iyomasa¹  Lída Raquel De Carvalho²  Maria Aparecida De Arruda Henry² 

[1] ,UNESPBotucatu SP ,Brazil

关键词: Gastroesophageal Reflux;    Dysphonia;    Larynx;    Voice;    Refluxo Gastroesofágico;    Disfonia;    Laringe;    Voz;   

DOI  :  10.1590/S0102-86502012001100013

来源: SciELO

【 摘 要 】

PURPOSE: To investigate laryngeal and voice disorders in patients with gastroesophageal symptoms and their correlation with pH-monitoring. METHODS: A prospective study was carried out in patients attended at the Voice Disorder Outpatient Clinics of Botucatu Medical School in a five-year period and had vocal and gastroesophagic symptoms. Patients underwent videolaryngoscopy, auditory-perceptual vocal analyses, computerized acoustic vocal analysis and dual probe pH-monitoring for 24 hours. RESULTS: Fifty-seven patients were included (aged between 21 and 65 years; 45 women and 12 men), 18 had normal (31.6%) and 39 had abnormal pH-monitoring results (68.4%). Videolaryngoscopy recorded several laryngeal lesions for both patients with normal and abnormal pH-monitoring, but mostly for the latter group, highlighting posterior pachyderma. Auditory-perceptual vocal assessments identified vocal changes of several intensities for both groups but especially for patients with abnormal pH-monitoring results. All acoustic parameters, except f0, were abnormal for both groups, compared to the control population. CONCLUSION: Acoustic and perceptual vocal changes and laryngeal lesions were recorded for both patients with normal pH-monitoring results and patients with abnormal pH-monitoring results, evidencing the importance of clinical history and videolaryngoscopic findings for diagnosing acid laryngitis.

【 授权许可】

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