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Effectiveness of Laryngostroboscopy for Monitoring the Evolution of Functional Dysphonia after Rehabilitator Treatment

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Abstract

The aim of this study is to evaluate the effectiveness of the laryngostroboscopy for monitoring the evolution of patients with functional dysphonia before and after the logopedic vocal treatment. We performed a prospective observational study of 65 dysphonic patients diagnosed of functional dysphonia, where we analyzed four stroboscopic parameters (glottal closure, vocal fold vibration, mucosal wave and phase symmetry) by a protocol based on systematic subjective evaluation of the stroboscopic images before and after the rehabilitator treatment; and the results were stratified according to the clinical course. All patients, before the treatment, had some abnormality in at least one of the four analyzed aspects. After the vocal treatment, we found improvement of the four parameters in different degrees, and we just found a statistically significant relationship between the evolution of the glottal closure and the clinical course. We believe that the laryngostroboscopy, systematized through a protocol, is a useful technique for the diagnosis of functional abnormalities in patients with functional dysphonia but it is not a very useful technique for evaluating the results after the rehabilitator treatment, as there is not a statistically significant relationship between clinical course and the change in the most stroboscopic parameters, so it shouldn’t be the only technique used for these proposes.

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References

  1. Bless DM (1991) Measurement of vocal function. Otolaryngol Clin N Am 24(5):1023–1033

    CAS  Google Scholar 

  2. Lockhart MS (1998) Objective assessment of voice intervention: a clinical audit. Int J Lang Commun Disord 33:316–321

    Article  PubMed  Google Scholar 

  3. Di Nicola V, Fiorella ML, Luperto P, Staffieri A, Fiorella R (2001) Valutazione obiettiva de disfonia. Possibilità e limitazioni Acta Otorhinolaryngol Ital 21(1):10–21

    Google Scholar 

  4. Rabinov CR, Kreiman J, Gerratt BR, Bielamowicz S (1995) Comparing reliability of perceptual ratings of roughness and acoustic measure of jitter. J Speech Hear Res 38(1):26–32

    PubMed  CAS  Google Scholar 

  5. Carding P, Carlson E, Epstein R, Mathieson L, Shewell C (2001) Re: Evaluation of voice quality. Int J Lang Commun Disord 36(1):127–134

    Article  PubMed  CAS  Google Scholar 

  6. Hirano M, Bless DM (1993) Videostroboscopic examination of the larynx. Singular Publishing Group Inc., San Diego, pp 15–32

    Google Scholar 

  7. Bustos Sánchez I (1991) Reeducación de problemas de la voz. 4ª Edición. Ed. Impresos y Revistas SA, pp 129–205

  8. Núñez Batalla F, Corte Santos P, Sequeiros Santiago G, Señaris González B, Suárez Nieto C (2004) Evaluación perceptual de la disfonía: correlación con los parámetros acústicos y fiabilidad. Acta Otorrinolaringol Esp 55:282–287

    Article  PubMed  Google Scholar 

  9. Sataloff RT, Spiegel JR, Hawkshaw MJ (1991) Strobovideolaryngoscopy: results and clinical value. Ann Otol Rhinol Laryngol 100(9):725–727

    PubMed  CAS  Google Scholar 

  10. García-Tapia Urrutia R (1996) Estroboscopia. In: García Tapia R, Cobeta Marco I. Diagnóstico y tratamiento de los trastornos de la Voz. Editorial Garsi, S.A. Madrid, pp 111–124

  11. Dejonckere PH, Crevier L, Elbaz E, Marraco M, Millet B (1998) Quantitative rating of video-laryngostroboscopy: a reliability study. Rev Laryngol Otol Rhinol (Bord) 119(4):259–260

    CAS  Google Scholar 

  12. Elias ME, Sataloff RT, Rosen DC, Heuer RJ, Spiegel JR (1997) Normal strobovideolaryngoscopy: variability in healthy singers. J Voice 11(1):104–107

    Article  PubMed  CAS  Google Scholar 

  13. Heman-Ackah YD, Dean CM, Sataloff RT (2002) Strobovideolaryngoscopic findings in singing teachers. J Voice 16(1):81–86

    Article  PubMed  Google Scholar 

  14. Sama A, Carding PN, Price S, Kelly P, Wilson JA (2001) The clinical features of functional dysphonia. Laryngoscope 111(3):458–463

    Article  PubMed  CAS  Google Scholar 

  15. Speyer R, Weineke G, Hosseini EG, Dejonckere PH (2002) Effects of voice therapy as objectively evaluated by digitized laryngeal stroboscopic imaging. Ann Otol Rhinol Laryngol 111(10):902–908

    PubMed  Google Scholar 

  16. Klein S, Piccirillo JF, Painter C (2000) Comparative contrast of voice measurements. Otolaryngol Head Neck Surg 123(3):164–169

    Article  PubMed  CAS  Google Scholar 

  17. Preciado JA, Garcia Tapia R, Infante JC (1998) Multi-dimensional analysis of vocal function. A case-control study. Acta Otorrinolaringol Esp 49(6):467–474

    PubMed  CAS  Google Scholar 

  18. Arias C, Bless DM, Khidr A (1992) Use of standard protocols in the evaluation of voice disorders. Rev Laryngol Otol Rhinol (Bord) 113(4):359–364

    CAS  Google Scholar 

  19. Dejonckere PH (2000) Clinical implementation of a multidimensional basic protocol for assessing functional results of voice therapy. A preliminary study. Rev Laryngol Otol Rhinol 121(5):311–313

    CAS  Google Scholar 

  20. Dejonckere PH, Remacle M, Fresnel-Elbaz E, Woisard V, Crevier-Buchman L, Millet B (1996) Differentiated perceptual evaluation of pathological voice quality: reliability and correlations with acoustic measurements. Rev Laryngol Otol Rhinol 117(3):219–224

    CAS  Google Scholar 

  21. Dejonckere PH, Bradley P, Clemente P (2001) Committee on Phoniatrics of the European Laryngological Society (ELS). A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of the European Laryngological Society (ELS). Eur Arch Otorhinolaryngol 258(2):77–82

    Article  PubMed  CAS  Google Scholar 

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Conflict of Interest

The authors declare that they have no conflict of interest.

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  1. Wasim Elhendi Halawa

    Present address: , C/Torre del Espolón no 18, 11207, Algeciras, Cádiz, Spain

Authors and Affiliations

  1. E.N.T. Department, Punta Europa Hospital, 11207, Algeciras, Cadiz, Spain

    Wasim Elhendi Halawa & Irene Vázquez Muñoz

  2. E.N.T. Department, Faculty of Medicine, Santiago de Compostela University, University Hospital Complex, 15706, Santiago, A Coruña, Spain

    Sofía Santos Perez

Authors
  1. Wasim Elhendi Halawa
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  2. Irene Vázquez Muñoz
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  3. Sofía Santos Perez
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Corresponding author

Correspondence to Wasim Elhendi Halawa.

Additional information

This research was conducted at E.N.T. Department, University Hospital Complex, 15706 Santiago Compostela (A Coruña), Spain.

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Halawa, W.E., Muñoz, I.V. & Perez, S.S. Effectiveness of Laryngostroboscopy for Monitoring the Evolution of Functional Dysphonia after Rehabilitator Treatment. Indian J Otolaryngol Head Neck Surg 65, 322–326 (2013). https://doi.org/10.1007/s12070-013-0636-8

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  • DOI: https://doi.org/10.1007/s12070-013-0636-8

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