Section: 
Diseases of the lymphoepithelial pharyngeal ring and neck
Diseases of the lymphoepithelial pharyngeal ring and neckComorbid pathology in clinical practice of phoniatrist
E. E. Koren’ (1), Yu. E. Stepanova (2)
(1), (2) Saint Petersburg Institute of Ear, Throat, Nose and Speech, Saint Petersburg, 190013, Russia
UDK: УДК 616.22-002.2/.5+616.225.4-006.5]-057
DOI: https://doi.org/10.18692/1810-4800-2024-6-60-67
ABSTRACT
Abstract. Change in voice function affects the communicative abilities of patients, their psychological status and limits their ability to work. In order to study the etiopathogenesis of functional and organic dysphonia in persons of voice-speech professions, an analysis of the somatic pathology of internal organs and systems was carried out. 244 people (171 women and 73 men) were examined, who applied to the phoniatric department of the Saint Petersburg Research Institute of ENT. Voice disorders were detected in 204 patients, 40 healthy people made up the control group. Laryngeal diseases were diagnosed by videolaryngoscopy, videolaryngostroboscopy. The main complaint in all patients was dysphonia and fatigue of the voice. Patients considered excessive voice use to be the main cause of voice problems. When collecting anamnesis, it turned out that 66 (32%) patients smoked. Moreover, the proportion of smokers in the group with functional dysphonia was much lower and amounted to 9 (11%) than in the groups with chronic laryngitis 30 (57%) and with polyps of the vocal folds — 17 (58%). The analysis of concomitant diseases according to the anamnesis and the documentation provided by the patients revealed somatic pathology in 198 (97%) patients. The highest percentage of somatic pathology was detected in the group with chronic laryngitis — that is, 132%, these patients more often suffered from diseases of the respiratory system (37%), gastrointestinal (31%), allergic diseases (24%). Endocrine and gynecological diseases, nervous system and allergic pathology were the most common in patients with functional dysphonia. Endocrine, allergic, and gastroduodenal pathology were more common in patients with vocal fold nodules. Diseases of the cardiovascular and gastrointestinal systems prevailed in the group with polyps of the vocal folds. Thus, excessive voice use, pathological changes in the vocal apparatus, nervous, endocrine, gastroduodenal, and other systems as well as smoking contributed to the occurrence of vocal disorders in voice professionals.
Publication date:
17.12.2024
Keywords:
voice professionals, chronic laryngitis, vocal fold polyp, smoking, laryngeal video endostroboscopy, dysphonia For citation:
Koren’ E. E., Stepanova Yu. E. Comorbid pathology in clinical practice of phoniatrist. Russian Otorhinolaryngology. 2024;23(6):60-67. (In Russ.) https://doi.org/10.18692/1810-4800-2024-6-60-67