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Prevalence of dysphagia in patients with muscle tension dysphonia

  • A-L Hamdan (a1), E Khalifee (a1), H Jaffal (a1), A Ghanem (a1) and A El Hage (a1)...



It is hypothesised that patients with muscle tension dysphonia have a high prevalence of dysphagia in comparison to normative values reported in the literature.


This prospective study included 44 subjects diagnosed with muscle tension dysphonia, based on symptoms and laryngoscopic findings, and 25 control subjects with no history of dysphonia and normal laryngeal examination findings. Demographic data included age, gender and smoking history. The aetiology of muscle tension dysphonia was classified as primary or secondary. Evaluation involved the Eating Assessment Tool (‘EAT-10’) questionnaire.


Patients’ mean age was 45.93 ± 14.95 years, with a female to male ratio of 1.2:1. Fourteen patients had primary muscle tension dysphonia, while 30 had secondary muscle tension dysphonia. Among patients with secondary muscle tension dysphonia, Reinke's oedema was the most common aetiology. There was a significant difference in the prevalence of dysphagia between the study group and the control group (40.9 per cent vs 8 per cent respectively, p < 0.05).


This study demonstrates a higher prevalence of dysphagia in patients with the presenting symptom of dysphonia and diagnosed with muscle tension dysphonia in comparison to subjects with no dysphonia.


Corresponding author

Author for correspondence: Dr Abdul-Latif Hamdan, Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, PO Box 11-0236, Beirut, Lebanon E-mail: Fax: +961 1 350 000


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Dr A-L Hamdan takes responsibility for the integrity of the content of the paper



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1Altman, KW, Atkinson, C, Lazarus, C. Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice 2005;19:261–7
2Aronson, A. Clinical Voice Disorders: An Interdisciplinary Approach. New York: Thieme, 1985
3Depietro, JD, Rubin, S, Stein, DJ, Golan, H, Noordzij, JP. Laryngeal manipulation for dysphagia with muscle tension dysphonia. Dysphagia 2018;33:468–73
4Perera, L, Kern, M, Hofmann, C, Tatro, L, Chai, K, Kuribayashi, S et al. Manometric evidence for a phonation-induced UES contractile reflex. Am J Physiol Gastrointest Liver Physiol 2008;294:G88591
5Van Houtte, E, Van Lierde, K, D'haeseleer, E, Van Imschoot, B, Claeys, S. UES pressure during phonation using high-resolution manometry and 24-h dual-probe pH-metry in patients with muscle tension dysphonia. Dysphagia 2012;27:198209
6Belafsky, PC, Mouadeb, DA, Rees, CJ, Pryor, JC, Postma, GN, Allen, J et al. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol 2008;117:919–24
7Miller, AJ. Deglutition. Physiol Rev 1982;62:129–84
8Dodds, WJ. The physiology of swallowing. Dysphagia 1989;3:171–8
9Dodds, WJ, Stewart, ET, Logemann, JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Reontgenol 1990;154:953–63
10Ramsey, GH, Watson, JS, Gramiak, A, Weinberg, SA. Cinefluorographic analysis of the mechanism of swallowing. Radiology 1955;64:498518
11Lindgren, S, Jazon, L. Prevalence of swallowing complaints and clinical findings among 50–70 year old men and women in an urban population. Dysphagia 1991;6:187–92
12Talley, NJ, Weaver, AL, Zinsmeister, AR, Melton, J 3rd. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992;136:165–77
13Kjellen, G, Tibbling, L. Manometric oesophageal function, acid perfusion test and symptomatology in a 55-year-old general population. Clin Physiol 1981;1:405–15
14Bloem, BR, Lagaay, AM, Van Beek, W, Haan, J, Roos, RAC, Wintzen, AR. Prevalence of subjective dysphagia in community residents aged over 87. BMJ 1990;300:721–2
15Logemann, JA. Evaluation and Treatment of Swallowing Disorders, 2nd edn. Austin: International Publisher, 1998
16Paik, N, Kim, SJ, Lee, HJ, Jeon, JY, Lim, J, Han, TR. Movement of the hyoid bone and the epiglottis during swallowing in patients with dysphagia from different etiologies. J Electromyogr Kinesiol 2008;18:329–35
17Zaninotto, G, Ragona, RM, Briani, C, Costantini, M, Rizzetto, C, Portale, G et al. The role of botulinum toxin injection and upper esophageal sphincter myotomy in treating oropharyngeal dysphagia. J Gastrointest Surg 2004;8:9971006
18Meier-Ewert, HK, Van Herwaarden, MA, Gideon, RM, Castell, JA, Achem, S, Castell, DO. Effect of age on differences in upper esophageal sphincter and pharynx pressures between patients with dysphagia and control subjects. Am J Gastroenterol 2001;96:3540
19Belafsky, PC, Postma, GN, Koufman, JA. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16:274–7
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