Demographic characteristics and spectrum of comorbidities in patients with muscle tension dysphonia: a retrospective cross-sectional study

Jelena Sotirović; Maša Petrović; Milanko Milojević; Nenad Baletić; Ognjen Čukić; Ivan Zaletel

doi:10.2298/VSP241029031S

Jelena Sotirović Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia; †University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Maša Petrović University of Belgrade, Faculty of Medicine, Belgrade, Serbia; Institute for Cardiovascular Diseases “Dedinje”, Belgrade, Serbia
Milanko Milojević Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Nenad Baletić Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia; University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade, Serbia
Ognjen Čukić Military Medical Academy, Clinic for Otorhinolaryngology, Belgrade, Serbia
Ivan Zaletel Institute for Histology and Embryology “Aleksandar Đ. Kostić”, Belgrade, Serbia

DOI: https://doi.org/10.2298/VSP241029031S

Ključne reči: komorbiditet;, demografija;, glas, poremećaji;, prevalenca;, srbija

Sažetak

Uvod/Cilj. Mišićna tenziona disfonija (MTD) je jedan od najčešćih poremećaja glasa. Cilj rada bio je da se ispitaju demografske karakteristike i prevalencija komorbiditeta kod pacijenata kojima je postavljena dijagnoza MTD. Metode. Retrospektivnom studijom preseka analizirane su demografske karakteristike i komorbiditeti kod 87 pacijenata kojima je postavljena dijagnoza tokom jednogodišnjeg perioda. Rezultati. Prosečna starost pacijenata bila je 49,2 godine (opseg 18–84 godina), a 79,3% je bilo mlađe od 65 godina. Ženski pol činio je 73,6%. Nije utvđena statistički značajna razlika u pušačkom statusu između muškaraca i žena (χ² = 0,624; p ˃ 0,05). Od 87 pacijenata, 43 (49,4%) su bile osobe koje se bave profesijama koje zahtevaju intenzivnu upotrebu glasa. Među ovim pacijentima, 20 (46,5%) su bili nastavnici u školi, 8 (18,6%) prodavci, 5 (11,6%) profesionalni pevači, 3 (7,0%) vaspitači u vrtiću, 3 (7,0%) predavači, 2 (4,6%) psiholozi, 1 (2,3%) logoped i 1 (2,3%) fitnes instruktor. Sekundarna MTD dijagnostikovana je kod 36 (41,4%) pacijenata. Najčešći klinički nalazi dijagnostikovani kod osoba sa sekundarnom MTD bili su čvorići na glasnim žicama kod 24 pacijenta (66,7%). Prevalencija komorbiditeta bila je sledeća: blago do umereno oštećenje sluha (9,2%), postnazalna sekrecija (31,0%), preosetljivost na uobičajene inhalatorne alergene (31,0%), astma ili hronična opstruktivna bolest pluća (18,4%), poremećaj rada štitaste žlezde (17,2%) i anamnestički podaci o gastroezofagealnoj refluksnoj bolesti (21,8%). Zaključak. MTD se češće javlja kod žena i osoba koje se bave profesijama koje zahtevaju intenzivnu upotrebu glasa. Zbog visoke prevalencije komorbiditeta kod pacijenata kojima je postavljena dijagnoza MTD, neophodni su detaljna anamneza i dodatna ispitivanja kako bi se odredio konačan plan lečenja.

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Demografske karakteristike i spektar komorbiditeta kod osoba sa mišićnom tenzionom disfonijom: retrospektivna studija preseka

Sažetak

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