کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1101961 953582 2014 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Dysphonia in Performers: Toward a Clinical Definition of Laryngology of the Performing Voice
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی بیماری های گوش و جراحی پلاستیک صورت
پیش نمایش صفحه اول مقاله
Dysphonia in Performers: Toward a Clinical Definition of Laryngology of the Performing Voice
چکیده انگلیسی

SummaryObjectivesTo identify causes of dysphonia in performers and compare causes and aspects of treatment of dysphonia in performers and nonperformers.Study DesignCase-control study.MethodsA chart review of all new patients presenting with a chief complaint of dysphonia over a 1-year period was performed. The prevalence of laryngeal disorders was reviewed and differences between performers and nonperformers were analyzed. The odds ratio of the prevalence of each disorder was computed against performer status as a risk factor.ResultsFour hundred seventy-six new patients complaining of dysphonia presented over 12 months; 74 were vocal performers. The median duration of symptoms in performers was 90 days. Phonotraumatic lesions were significantly more prevalent in performers (63.5% vs 28.6%, P < 0.001), particularly bilateral mid-fold swelling (4-fold increase in performers), pseudocysts (3-fold increase), and vocal fold hemorrhage/ectasia. Neurologic disorders (vocal fold paralysis and spasmodic dysphonia), neoplastic pathologies, and age-related phenomena (atrophy/presbyphonia) were significantly more common in nonperformers. Overall and diagnosis-specific rates of surgical intervention were equal between the two groups.ConclusionsPhonotraumatic injury is responsible for the majority of dysphonia in vocal performers, to a significantly greater extent than in nonperformers and requires the implementation of standard therapeutic strategies. Awareness of the specific risks and management needs of the performer is of paramount importance to the practice of laryngology of the performing voice.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Voice - Volume 28, Issue 3, May 2014, Pages 349–355
نویسندگان
, , , ,