THE FACTORS ASSOCIATED WITH ALLERGIC RHINITIS IN THE DYSPHONIC PROFESSIONAL VOICE USERS

  • sladjana stanimir simovic Dom zdravlja Kragujevac

Sažetak


Objectives: Aim of the present study was to investigate the frequency of allergic rhinitis in disphonic professional voice users and to assess the correlation between allergic rhinitis and demographic characteristics (sex, ages and years in occupation) and presence of  laryngopharyngeal reflux, as comorbidity health condition.

Methods: A total of  104 patients (17 male, 87 female) with mean age of 36,8±10,9 years were included in the study. The patients underwent rigid or transnasal laryngoscopy with videostroboscopy which revealed the presence of glottic insufficiency and hyperkinetic dysphonia, respectively, in 39,4%  and 22,1%. Descriptive analysis, Pearson Chi-Square Tests and Binary Logistic regression were carried out using the  SPSS 13.0 statistical software package.

Results: Frequency of allergic rhinitis in disphonic professional voice users was 44,2%. The patients were 1.1 times more likely to have allergic rhinitis with each passing year of life. Allergic rhinitis is with each year in occupation 0,89 times less frequent and 0,035 times less often in patients with gastro-oesophageal reflux disease.

Conclusions: These results imply the need to consider allergic rhinitis as important predisposing factor for disphonia in professional voice users.

Keywords: allergic rhinitis, dysphonia, predisposing factors, professional voice users.

Keywords: rhinitis, allergy, dysphonia, voice.

Biografija autora

sladjana stanimir simovic, Dom zdravlja Kragujevac
specijalista otorinolaringologije

Reference

Djukic V, Stankovic P, Ugrinovic A, DjordjevicV. Dysphonia-dilemmas and controversies. Acta Clinica-Hoarseness 2008; 8(3):18-20.

Sataloff RT. Professional voice users: the evaluation of voice disorders. Occup Med 2001;16(4):633-47.

Williams NR. Occupational groups at risk of voice disorders: a review of the literature. Occup Med 2003;53(7):456-60.

Bhattacharyya N. The prevalence of voice problems among adults in the United States. Laryngoscope 2014;124(10):2359-62.

Bousquet J, Schünemann HJ, Samolinski B et al. Allergic Rhinitis and its Impact on Asthma (ARIA): achievements in 10 years and future needs. J Allergy Clin Immunol 2012;130(5):1049-62.

Hamdan AL, Sibai A, Youssef M, Deeb R, Zaitoun F. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg 2006;132(5):547-9.

Zalvan CH, Hu S, Greenberg B, Geliebter J. A Comparison of Alkaline Water and Mediterranean Diet vs Proton Pump Inhibition for Treatment of Laryngopharyngeal Reflux. JAMA Otolaryngol Head Neck Surg 2017;143(10):1023-29.

Sataloff RT, Hawkshaw MJ, Gupta R. Laryngopharyngeal reflux and voice disorders: an overview on disease mechanisms, treatments, and research advances. Discov Med 2010;10(52):213-24.

Belafsky PC, Postma GN, Koufman JA. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16(2):274-7.

Develioglu ON, Paltura C, Koleli H, Kulekci M. The effect of medical treatment on voice quality in allergic rhinitis. Indian J Otolaryngol Head Neck Surg 2013;65(Suppl 2):426-30.

Dworkin-Valenti JP, Sugihara E, Stern N, Naumann I, Bathula S, Amjad E. Laryngeal inflammation. Ann Otol Rhinol 2015; 2:1058-1066.

Lauriello M, Angelone AM, Businco LD, Passali D, Bellussi LM, Passali FM. Correlation between female sex and allergy was significant in patients presenting with dysphonia. Acta Otorhinolaryngol Ital 2011;31(3):161-6.

Brook CD, Platt MP, Reese S, Noordzij JP. Utility of Allergy Testing in Patients with Chronic Laryngopharyngeal Symptoms: Is It Allergic Laryngitis? Otolaryngol Head Neck Surg 2016;154(1):41-5.

Roth DF, Abbott KV, Carroll TL, Ferguson BJ. Evidence for primary laryngeal inhalant allergy: a randomized, double-blinded crossover study. Int Forum Allergy Rhinol 2013;3(1):10-8.

Krouse JH. Allergy and laryngeal disorders. Curr Opin Otolaryngol Head Neck Surg 2016;24(3):221-5.

Williams RI. Allergic laryngitis. Ann Otol Rhinol Laryngol. 1972;81(4):558-65.

Wyke BD, Kirschner JA. Neurology of the larynx. London: Heinemann, Scientific Foundations of Otolaryngology, 1976. pp. 546–574.

Sant'Ambrogio G, Mathew OP, Fisher JT, Sant'Ambrogio FB. Laryngeal receptors responding to transmural pressure, airflow and local muscle activity. Respir Physiol 1983;54(3):317-30.

van Lunteren E, Van de Graaff WB, Parker DM et al. Nasal and laryngeal reflex responses to negative upper airway pressure. J Appl Physiol Respir Environ Exerc Physiol 1984;56(3):746-52.

Stachler RJ, Dworkin-Valenti JP. Allergic laryngitis: unraveling the myths. Curr Opin Otolaryngol Head Neck Surg 2017;25(3):242-246.

Cohen SM, Kim J, Roy N, Asche C, Courey M. Prevalence and causes of dysphonia in a large treatment-seeking population. Laryngoscope 2012;122(2):343-8.

Preciado-López J, Pérez-Fernández C, Calzada-Uriondo M, Preciado-Ruiz P. Epidemiological study of voice disorders among teaching professionals of La Rioja, Spain. J Voice 2008;22(4):489-508.

Hah JH, Sim S, An SY, Sung MW, Choi HG. Evaluation of the Prevalence of and Factors Associated With Laryngeal Diseases Among the General Population. Laryngoscope 2015;125(11):2536-42.

Koç EA, Koç B, Erbek S. Comparison of Acoustic and Stroboscopic Findings and Voice Handicap Index between Allergic Rhinitis Patients and Controls. Balkan Med J 2014;31(4):340-4.

Gregory ND, Chandran S, Lurie D, Sataloff RT. Voice disorders in the elderly. J Voice 2012;26(2):254-8.

Koufman JA, Aviv JE, Casiano RR, Shaw GY. Laryngopharyngeal reflux: position statement of the committee on speech, voice, and swallowing disorders of the American Academy of Otolaryngology-Head and Neck Surgery. Otolaryngol Head Neck Sur. 2002;127(1):32-5.

Pendleton H, Ahlner-Elmqvist M, Jannert M, Ohlsson B. Posterior laryngitis: a study of persisting symptoms and health-related quality of life. Eur Arch Otorhinolaryngol 2013;270(1):187-95.

Garrett CG, Cohen SM. Otolaryngological perspective on patients with throat symptoms and laryngeal irritation. Curr Gastroenterol Rep 2008;10(3):195-9.

Eren E, Arslanoğlu S, Aktaş A et al. Factors confusing the diagnosis of laryngopharyngeal reflux: the role of allergic rhinitis and inter-rater variability of laryngeal findings. Eur Arch Otorhinolaryngol 2014 ;271(4):743-7.

Randhawa PS, Mansuri S, Rubin JS. Is dysphonia due to allergic laryngitis being misdiagnosed as laryngopharyngeal reflux? Logoped Phoniatr Vocol 2010;35(1):1-5.

Belafsky PC, Peake J, Smiley-Jewell SM, Verma SP, Dworkin-Valenti J, Pinkerton KE. Soot and house dust mite allergen cause eosinophilic laryngitis in an animal model. Laryngoscope 2016;126(1):108-12.

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2018/02/27
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