Prevalence and Severity of Dysphonia in Patients with Cystic Fibrosis
| Autor: | Stephanie Misono, John Willis, Deirdre D. Michael, Holly C. Boyer |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Cystic Fibrosis Pilot Projects Severity of Illness Index Cystic fibrosis Article Young Adult Speech Production Measurement Surveys and Questionnaires Internal medicine Outcome Assessment Health Care Prevalence otorhinolaryngologic diseases Humans Medicine In patient Sinusitis business.industry Speech Intelligibility Chronic sinusitis Middle Aged Dysphonia medicine.disease Cross-Sectional Studies Otorhinolaryngology Case-Control Studies Physical therapy Female Surgery Voice handicap business |
| Zdroj: | Otolaryngology–Head and Neck Surgery. 153:88-93 |
| ISSN: | 1097-6817 0194-5998 |
| DOI: | 10.1177/0194599815581832 |
| Popis: | To assess the prevalence and severity of dysphonia in patients with cystic fibrosis sinusitis. We hypothesized that patients with CF sinusitis, compared with 2 control groups, would have higher self-reported prevalence of dysphonia and greater severity of dysphonia, according to patient-reported outcome measures as well as auditory-perceptual evaluation by expert listeners.Cross-sectional comparative pilot study.Academic tertiary care clinic.Analysis included 37 study participants: 17 patients with CF sinusitis, 10 healthy individuals, and 10 patients with non-CF sinusitis. All participants completed the 10-item Voice Handicap Index (VHI-10) questionnaire and provided voice samples. On all samples, 6 blinded speech-language pathologists independently performed auditory-perceptual evaluation, using Consensus Auditory-Perceptual Evaluation of Voice. To assess severity of sinonasal symptoms, we used the 20-item Sinonasal Outcome Test (SNOT-20). Standard parametric and nonparametric statistical analysis was performed.The differences between the 3 groups in prevalence of abnormal VHI-10 scores were not statistically significant. SNOT-20 scores were similar in the 2 sinusitis patient groups. VHI-10 scores were highest in patients with CF sinusitis, intermediate in patients with non-CF sinusitis, and lowest in healthy individuals (P = .005). Auditory-perceptual evaluation demonstrated greater overall severity of dysphonia in patients with CF sinusitis compared with the 2 control groups (P = .0005).Cystic fibrosis sinusitis appeared to be associated with worse vocal function as measured by patient self-report as well as auditory-perceptual evaluation of voice compared with patients with non-CF sinusitis and healthy controls. Further investigation in this area is warranted. |
| Databáze: | OpenAIRE |
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