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At least 91 records · Page 5Linked to original sources
PubMed1978

[Voice disorders following the use of hormonal contraceptives].

Voice disorders due to hormonal contraceptives in twenty-six patients are reported. All patients are working in occupations with a strong use for their voices especially of the singing voice. The disorders are primarily caused by norsteroid containing preparations (Non-Ovlon). Therefore these preparations should not be applied for patients in voice professions. With regard to good prophylactic measures and an early diagnosis a regular joint gynaecological and phoniatric examination is recommended.

Contraceptives, Oral↗
PubMed2001

[Proposals of rational procedures for certifying occupational voice disorders].

Following a long period of experience acquired in assessing occupation-related voice disorders, the proposals of objective measures, facilitating the certification of occupational disease of the voice organ in accordance with the binding legal regulations, are presented. The importance of documentary evidence of at least two years of treatment and phoniatric rehabilitation is stressed. A need to prevent occupation-related voice disorders through phoniatric diagnostic procedures is highlighted.

Certification↗
PubMed1991

Approach to the patient with a voice disorder.

The author's approach to patients with voice disorders emphasizes the value of a multidisciplinary voice team, including an otolaryngologist, a speech pathologist, and a neurologist.

Humans↗
PubMed2006

Long-term outcome of hyperfunctional voice disorders based on a multiparameter approach.

SUMMARY: The purpose of this study is to determine the long-term voice outcome (6.1 years after a well-defined voice treatment program) of hyperfunctional voice disorders in 27 subjects. All patients showed a muscle tension pattern type I (MTP I). Perceptual ratings, aerodynamic and acoustical analyses, Voice Handicap Index (VHI) value, and a determination of the Dysphonia Severity Index (DSI) were performed. The laryngovideostroboscopic images indicated that 51% of the subjects still show pathological laryngological findings. The negative evolution of the DSI from -1 to -3.2 is in agreement with this finding. Analysis of the components of the DSI shows that the main responsible variable for this negative change is the lowest intensity (I-low) that increased with 8.1 dB, indicating that subjects generally speak too loud, which is a typical problem for vocal hyperfunction. The VHI-score indicates an unimportant psychosocial impact of the voice disorder. The more objective and laryngostroboscopic findings indicate a chronic situation for a substantial part of the subjects and even a worse situation for some of them. Whether the long-term voice outcome results can be changed with the insertion of several follow-up voice rehabilitation sessions over the years remains unanswered and is a subject for further research.

Child↗
PubMed1998

Voice disorders in patients with suspected laryngo-pharyngeal reflux disease.

Many symptoms have been recognized in association with laryngo-pharyngeal reflux disease (LPRD), but reports of perceptual voice disorders in this condition have been lacking to date. Forty-nine patients with suspected LPRD were studied for five specific perceptual voice characteristics, and these characteristics were compared to the same characteristics in individuals who had never seen an Otolaryngologist for a voice disorder or throat problem (controls). Sixteen of the suspected LPRD patients also underwent 24-hour pH probe studies. All patients with suspected LPRD had significantly increased abnormal perceptual voice characteristics (musculoskeletal tension, hard glottal attack, glottal fry, restricted tone placement, and hoarseness) compared to the controls. Statistical objective differences between the two groups was demonstrated by the presence of increased shimmer in patients with suspected LPRD compared to controls. The differential diagnosis between functional voice disorders and LPRD may be complex, and perceptual parameters may overlap. Interdisciplinary evaluation is advocated.

Female↗
PubMed1989

A longitudinal study of the prevalence of voice disorders in children from a rural school division.

In a mass screening of children ages 6-10 in a rural school division, 203 children were identified as showing a voice deviation. One year later a retesting of 178 of these children showed that 39.9% still showed a voice disorder. Four years later 50 of these children were still available in the same school system; 38% of them still showed a voice disorder. Virtually none of these children were referred to the otolaryngologist for an ENT evaluation or to the speech-language pathologist for voice rehabilitation. Results indicate that, for many of these children, the voice disorders do not "clear up" through maturation alone.

Child↗
PubMed2005

[Prevalence and incidence studies of voice disorders among teaching staff of La Rioja, Spain. Clinical study: questionnaire, function vocal examination, acoustic analysis and videolaryngostroboscopy].

OBJECTIVE: The aim of this study was calculate the prevalence and incidence of voice disorders among teaching staff of La Rioja, Spain. DESIGN: We carried out a transversal study of voice disorders in teaching staff of La Rioja (a random sample of 931 of 3113 teachers) and a longitudinal study (we collect the new cases during the 3 years which lasts the study). PATIENTS: 527 teachers of random sample took part of study: 332 female (63%) and 195 male (37%). METHODS: All of teachers fill in a standard questionnaire, ENT and function vocal examination, videolaryngostroboscopy and acoustic analysis with MDVP. RESULTS: The prevalence of voice disorders among La Rioja Teachers was 57%: 20.3% for organic lesions [nodular lesions (14%), polyps (2%), submucous suffusions (1.4%), edema Reinke (1.2%) Sulcus (0.4%), scalp (0.6%), leucoplasia (0.2%) vocal cord paralysis (0.2%)] 8.1% for chronic laryngitis [not specific (2.8%), smoke (3.9%) gastroe-sofageal reflux (2.5%)] and 29% for functional lesions [hyperfunctional dysphonia (7.5%) hypofunctional dysphonia (0.4%) vocal overefforts (18%) hyperplasia false cords (2.8)]. The incidence rate was 4 new cases each 1000 teachers and year. CONCLUSIONS: Organic lesions were more prevalent in women (25.4%) than in men (9.5%), but functional lesions and chronic laryngitis were more prevalent in men (36.5% and 13.2%) than in women (24% and 5%).

Acoustics↗
PubMed1994

[Psychotherapeutic treatment of patients with functional voice disorders].

Psychic factors in the development and maintenance of functional voice disorders call for a psychotherapeutic treatment of dysphonic patients. The voice symptom is considered as a creative achievement of the patient to cope with an internal conflict using the ego function of speaking in the social context. A large number of dysphonic patients require an orientation of psychotherapy towards their symptoms. Symptom-centered short-term psychotherapy on a psychoanalytic basis concentrates on a symptom focus which, being a generalized description of cognitive, affective and behavioural elements of speech-conflict situations, structures the psychotherapeutic work with the material of the manifestations of voice complaints in the psychosocial context. Working out the psychodynamic conflict constellation underlying the voice symptomatics enables the patients to develop alternatives of coping with the internal affective conflict and of arranging interaction patterns with emotionally significant persons.

Conflict, Psychological↗
PubMed1997

Pattern recognition in muscle misuse voice disorders: how I do it.

The diagnosis of the patient with a muscle misuse voice disorder can be a complex process. The dysphonia is usually caused by problems stemming from a number of interacting factors that may include habitual vocal technique and postural use, vocal behavior, emotion, manifestations of gastroesophageal reflux, neuromuscular abnormalities, and associated organic mucosal disease. Sorting out the relative importance of the various factors is the first step towards planning an effective treatment program. This article addresses the difficulties caused by trying to classify dysphonia too rigidly, and presents a strategy for collecting the necessary information in a manner that facilitates the development of effective tools for clinical decision making. For each dysphonic patient, a pattern of causation will emerge in a way that helps the clinician to disentangle the interrelated factors.

Affect↗
PubMed1997

[Voice disorder and bulimia].

It is known that gastroesophageal reflux disease is one of the causal agents for pathological changes in the larynx. The following case report reveals the relation between chronically habitual vomiting (bulimia) and alterations in the larynx, representing the findings typically seen in reflux laryngitis. The case describes the history of a 29-year-old female patient who has suffered from bulimia for years and consequently developed a disorder in her singing voice and irritation of the throat. The medical history, laryngeal findings and the results obtained in examination of the voice indicate that possible causes typical of gastroesophageal reflux disease can be detected in patients with a matching history, corresponding age and gender; bulimia should be considered as one of the causes.

Adult↗