Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers.
The laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aerodigestive tract. It is associated with voice disorders and interferes with the singer's vocal production quality. This study aimed to determine the correlation...
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/25803 |
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I10-R327-article-25803 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
self-assessment laryngopharyngeal reflux hoarseness autoevaluación reflujo laringofaringeo ronquera |
| spellingShingle |
self-assessment laryngopharyngeal reflux hoarseness autoevaluación reflujo laringofaringeo ronquera Toconás, MG Hernandez, A Alvarez, CR Paolini, G Ceballos, E Vega, LN Brain, N Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| topic_facet |
self-assessment laryngopharyngeal reflux hoarseness autoevaluación reflujo laringofaringeo ronquera |
| author |
Toconás, MG Hernandez, A Alvarez, CR Paolini, G Ceballos, E Vega, LN Brain, N |
| author_facet |
Toconás, MG Hernandez, A Alvarez, CR Paolini, G Ceballos, E Vega, LN Brain, N |
| author_sort |
Toconás, MG |
| title |
Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| title_short |
Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| title_full |
Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| title_fullStr |
Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| title_full_unstemmed |
Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| title_sort |
correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. |
| description |
The laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aerodigestive tract. It is associated with voice disorders and interferes with the singer's vocal production quality.
This study aimed to determine the correlation between fibro-laryngoscopic signs of LPR with self-reports of LPR symptoms, the discomfort of the vocal tract and perceptual-auditory vocal quality in singers, Córdoba, 2019.
Descriptive, cross-sectional, correlational study. 38 singers of both genres with a mean age of 24.4, volunteer of 2019 World Voice Day campaign at Hospital Nacional de Clínicas, were assessed. All participants signed the informed consent form and completed the self-assessments: Vocal Tract Discomfort (VTD) and LPR Symptom Index (RSI). Reflux Finding Score (RFS) was used to determine signs of LPR using fibro-laryngoscopy. Vocal quality was determined using the R parameter of the GRBAS perceptual-auditory scale. Statistical analysis was performed in Infostat 2017.
The prevalence of abnormal RFS score was 81.58% and of the RSI, 36.84%. The total score average of VTDs was 16.4 (maximum score: 96). Significant correlation was found between total score of RSI and VTD self-assessments scales with PC = 0.59 (p = 0.0001); and non-significant negative correlation between total scores of RFS and VTD with PC = -0.15 (p = 0.35) and total scores of RFS and RSI with PC = -0.14 (p = 0.4). No statistically significant correlation was found between specific symptoms of self-reports with RFS. Statistically significant correlation was observed between R and total RFS with PC = 0.51 (p = 0.003) and non-significant positive correlation between self-perceived hoarseness and R parameter with PC = 0.15 (p = 0.36).
No correlation was found between self-perceived symptoms and perceptual-auditory and fibro-laryngoscopic signs. The results reveal the diagnostic precision of the perceptual-auditory and fibro-laryngoscopic assessments above the self-perception predictive value of the sample subjects. According to this discrepancy and due to the risk of late detection of possible vocal alterations in voice professionals, the periodic otolaryngological and speech and language therapy controls are justified, even at the absence of symptoms associated with LPR.
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| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/25803 |
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I10-R327-article-258032024-08-27T18:26:19Z Correlation between laryngopharyngeal reflux fibro-laryngoscopy signs and laryngopharyngeal reflux symptoms, vocal tract discomfort and perceptual-auditory roughness in singers. Correlación entre signos fibrolaringoscópicos y síntomas de Reflujo laringo-faríngeo, disconfort del tracto vocal y rugosidad perceptivo-auditiva en cantantes. Toconás, MG Hernandez, A Alvarez, CR Paolini, G Ceballos, E Vega, LN Brain, N self-assessment laryngopharyngeal reflux hoarseness autoevaluación reflujo laringofaringeo ronquera The laryngopharyngeal reflux (LPR) is the retrograde movement of gastric contents into the larynx, pharynx, and upper aerodigestive tract. It is associated with voice disorders and interferes with the singer's vocal production quality. This study aimed to determine the correlation between fibro-laryngoscopic signs of LPR with self-reports of LPR symptoms, the discomfort of the vocal tract and perceptual-auditory vocal quality in singers, Córdoba, 2019. Descriptive, cross-sectional, correlational study. 38 singers of both genres with a mean age of 24.4, volunteer of 2019 World Voice Day campaign at Hospital Nacional de Clínicas, were assessed. All participants signed the informed consent form and completed the self-assessments: Vocal Tract Discomfort (VTD) and LPR Symptom Index (RSI). Reflux Finding Score (RFS) was used to determine signs of LPR using fibro-laryngoscopy. Vocal quality was determined using the R parameter of the GRBAS perceptual-auditory scale. Statistical analysis was performed in Infostat 2017. The prevalence of abnormal RFS score was 81.58% and of the RSI, 36.84%. The total score average of VTDs was 16.4 (maximum score: 96). Significant correlation was found between total score of RSI and VTD self-assessments scales with PC = 0.59 (p = 0.0001); and non-significant negative correlation between total scores of RFS and VTD with PC = -0.15 (p = 0.35) and total scores of RFS and RSI with PC = -0.14 (p = 0.4). No statistically significant correlation was found between specific symptoms of self-reports with RFS. Statistically significant correlation was observed between R and total RFS with PC = 0.51 (p = 0.003) and non-significant positive correlation between self-perceived hoarseness and R parameter with PC = 0.15 (p = 0.36). No correlation was found between self-perceived symptoms and perceptual-auditory and fibro-laryngoscopic signs. The results reveal the diagnostic precision of the perceptual-auditory and fibro-laryngoscopic assessments above the self-perception predictive value of the sample subjects. According to this discrepancy and due to the risk of late detection of possible vocal alterations in voice professionals, the periodic otolaryngological and speech and language therapy controls are justified, even at the absence of symptoms associated with LPR. El reflujo laringo-faríngeo (RLF) es el movimiento retrógrado de los contenidos gástricos hacia laringe, faringe y tracto aerodigestivo superior. Se asocia con trastornos de la voz, interfiere en la calidad de producción vocal del cantante. El objetivo fue determinar la correlación entre signos fibrolaringoscópicos de RLF con autorreportes de síntomas de RLF, disconfort del tracto vocal y calidad vocal perceptivo-auditiva en cantantes, Córdoba, 2019. Estudio descriptivo, transversal, correlacional. Sujetos muestrales: n=38 cantantes de ambos sexos, asistentes voluntarios a la campaña del Día Mundial de la Voz en el Hospital Nacional de Clínicas, con edad media de 24,4. Posterior a la firma de consentimiento informado, los participantes completaron los autorreportes: Disconfort del Tracto Vocal (DTV) e Índice de Síntomas de RLF (ISR). Mediante fibrolaringoscopia se utilizó Reflux Finding Score (RFS) para determinar signos de RLF. La calidad vocal se determinó mediante el parámetro R (rugosidad) de escala perceptivo-auditiva GRBAS. El análisis estadístico se realizó en Infostat 2017. La prevalencia de score anormal de RFS fue 81,58% y del ISR, 36,84%. El promedio de score total sDTV fue 16,4 (score máximo: 96). Se encontró correlación significativa entre totales de escalas de autorreporte ISR y DTV con CP=0,59 (p=0,0001); y correlación negativa no significativa entre totales RFS y DTV con CP=-0,15 (p=0,35) y totales RFS y ISR con CP=-0,14 (p=0,4). No se encontró correlación estadísticamente significativa entre síntomas específicos de los autorreportes con RFS. Se observó correlación estadísticamente significativa entre R y total de RFS con CP=0,51 (p=0,003) y correlación positiva no significativa entre Ronquera autopercibida y parámetro R con CP=0,15 (p=0,36). No se encontró correlación entre los síntomas de autorreporte y los signos perceptivo-auditivos y fibrolaringoscópicos. Los resultados destacan la precisión diagnóstica de los exámenes perceptivo-auditivos y fibrolaringoscópico por sobre el valor predictivo de autopercepción de los sujetos muestrales. Debido a esta discrepancia y ante el riesgo de detección tardía de posibles alteraciones vocales en profesionales de la voz, se justifica la realización de controles otorrinolaringológicos y fonoaudiológicos periódicos, aún ante la ausencia de síntomas asociados a RLF. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-17 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/25803 Revista de la Facultad de Ciencias Médicas de Córdoba.; 2019: Suplemento JIC XX Revista de la Facultad de Ciencias Médicas de Córdoba; 2019: Suplemento JIC XX Revista da Faculdade de Ciências Médicas de Córdoba; 2019: Suplemento JIC XX 1853-0605 0014-6722 10.31053/1853.0605.v76.nSuplemento spa https://revistas.unc.edu.ar/index.php/med/article/view/25803/27573 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |