Abstract
To study the specific effects of smoking on laryngeal mucosa and voice using video-stroboscopy, subjective and objective voice analysis. This cross-sectional and observational study was carried out in the Department of Otorhinolaryngology, M.G.M. Medical College & M.Y. Hospital, Indore on 103 subjects with dysphonia (49 smokers and 54 non-smokers), between October 2018 to October 2020. After detailed history and general examination, all the cases underwent video-stroboscopic analysis and voice analysis by simple parameters—Maximum Phonation Time (M.P.T.) & s/z score. The cases answered the Voice Related Quality Of Life questionnaire (V.R.Q.O.L.). The observations between smokers and non-smokers were compared. Statistically significant (P < 0.05) associations were observed between smoking and various vocal fold pathological characteristics. There was statistically significant association of smoking with overall possibility of benign vocal fold lesions (P = 0.0129). Significant association was noted of smoking with specific lesions like leukoplakia (P = 0.02), erythema (P = 0.0161) and Reinke’s edema (P = 0.322). The mean M.P.T. was 9.5 s in smokers and 11 s in non-smokers. We observed statistically significant relationship between smoking and abnormal s/z ratio (P = 0.0165). This study shows the observable effects of smoking on vocal fold micro-anatomy and voice. Dysphonia was primary complaint in both groups, but all observations were worse in smokers, indicating harmful effects of smoking.
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References
Banjara H, Mungutwar V, Singh D, Gupta A (2014) Objective and subjective evaluation of larynx in smokers and nonsmokers: a comparative study. Indian J Otolaryngol Head Neck Surg 66(1):99–109
Myerson MC (2016) L Smoker’S Larynx: a clinical pathological entity. Ann Otol Rhinol Laryngol. https://doi.org/10.1177/000348945005900224
Byeon H, Cha S (2020) Evaluating the effects of smoking on the voice and subjective voice problems using a meta-analysis approach. Sci Rep 10(1):4720
Pinar D, Cincik H, Erkul E, Gungor A (2016) Investigating the effects of smoking on young adult male voice by using multidimensional methods. J Voice 30(6):721–725
Patel RR, Romeo SD, Van Beek-King J, Braden MN (2020) Endoscopic Evaluation of the Pediatric Larynx. In: McMurray JS, Hoffman MR, Braden MN (eds) Multidisciplinary Management of Pediatric Voice and Swallowing Disorders. Springer, Cham, pp 119–133. https://doi.org/10.1007/978-3-030-26191-7_14
Mendes Tavares EL, Brasolotto AG, Rodrigues SA, Benito Pessin AB, Garcia Martins RH (2012) Maximum phonation time and s/z ratio in a large child cohort. J Voice 26(5):675.e1–4
Speyer R, Bogaardt HCA, Passos VL, Roodenburg NPHD, Zumach A, Heijnen MAM et al (2010) Maximum phonation time: variability and reliability. J Voice 24(3):281–284
Eckel FC, Boone DR (1981) The S/Z ratio as an indicator of laryngeal pathology. J Speech Hear Disord 46(2):147–149
Gelfer MP, Pazera JF (2006) Maximum duration of sustained /s/ and /z/ and the s/z ratio with controlled intensity. J Voice 20(3):369–379
Mundra RK, Singh A (2020) a comprehensive voice analysis in benign vocal fold lesions treated by cold knife endolaryngeal surgery using subjective, objective and video-stroboscopic parameters. springermedizin.de. [cited 2020 Aug 23]. https://www.springermedizin.de/a-comprehensive-voice-analysis-in-benign-vocal-fold-lesions-trea/16586682
Guha R, Mondal T et al (2015) clinico-demographic trend of benign vocal cord lesions among urban population attending tertiary care institution of kolkata. IOSR J Dent Med Sci 14(11):64–66
Hegde MC, Kamath MP, Bhojwani K, Peter R, Babu PR (2005) Benign lesions of larynx—a clinical study. Indian J Otolaryngol Head Neck Surg 57(1):35
Thomas G, Mathews SS, Chrysolyte SB, Rupa V (2007) Outcome analysis of benign vocal cord lesions by videostroboscopy, acoustic analysis and voice handicap index. Indian J Otolaryngol Head Neck Surg 59(4):336–340
Awan SN, Morrow DL (2007) Acoustic prediction of voice type in women with functional dysphonia Citation metadata. J Voice 21(2):211–223
Wani AA, Rehman A, Hamid S, Akhter M, Baseena S (2012) Benign mucosal fold lesion as a cause of hoarseness of voice—a clinical study. Otolaryngology 2(3):1–4
Hardianingwati LM, Ardani DM (2020) Prevalence of benign vocal fold lesions in ear, nose, and throat outpatient unit of Dr. Soetomo General Hospital, Surabaya, Indonesia. BHSJ 3(1):37
Thaker A et al (1993) Combined and external laryngoceles: typical and atypical. Indian J Otolaryngol Head Neck Surg 2:91–93
Nerukar NK et al (2017) Textbook of Laryngology, Chapter 1: a historical review of laryngology, Chapter 2: anatomy of the Larynx pg13–22, Chapter 3: physiology of phonation, Chapter 14: nodules and polyps, Chapter 15: Cyst, Sulci and Mucosal bridge. First. Jaypee Brothers Medical Publishers (P) Ltd
Marcotullio D, Magliulo G, Pezone T (2002) Reinke’s edema and risk factors: clinical and histopathologic aspects. Am J Otolaryngol 23(2):81–84
Tahir E (2020) The effect of parental smoking on voice-related quality of life in the pediatric population author links open overlay panel. The voice foundation. Elsevier, Amsterdam
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Raghuwanshi, N., Mundra, A., Dubey, N.K. et al. Multimodal Analysis of Dysphonia in Smokers: A Two Year Comprehensive Study. Indian J Otolaryngol Head Neck Surg 74 (Suppl 3), 4948–4953 (2022). https://doi.org/10.1007/s12070-021-02419-w
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DOI: https://doi.org/10.1007/s12070-021-02419-w