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Prevalence of dysphagia in patients with muscle tension dysphonia

Published online by Cambridge University Press:  05 April 2019

A-L Hamdan ,
E Khalifee ,
H Jaffal ,
A Ghanem  and
A El Hage
A-L Hamdan*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
E Khalifee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
H Jaffal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
A Ghanem
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
A El Hage
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
*
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: ah77@aub.edu.lb Fax: +961 1 350 000
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Abstract

Background

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

Methods

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.

Results

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).

Conclusion

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.

Keywords

DysphagiaDysphoniaVocal Cords

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 133 , Issue 5 , May 2019 , pp. 390 - 393
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

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

References

1Altman, KW, Atkinson, C, Lazarus, C. Current and emerging concepts in muscle tension dysphonia: a 30-month review. J Voice 2005;19:261–7Google Scholar
2Aronson, A. Clinical Voice Disorders: An Interdisciplinary Approach. New York: Thieme, 1985Google Scholar
3Depietro, JD, Rubin, S, Stein, DJ, Golan, H, Noordzij, JP. Laryngeal manipulation for dysphagia with muscle tension dysphonia. Dysphagia 2018;33:468–73Google Scholar
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:G885–91Google Scholar
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;27:198–209Google Scholar
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;117:919–24Google Scholar
7Miller, AJ. Deglutition. Physiol Rev 1982;62:129–84Google Scholar
8Dodds, WJ. The physiology of swallowing. Dysphagia 1989;3:171–8Google Scholar
9Dodds, WJ, Stewart, ET, Logemann, JA. Physiology and radiology of the normal oral and pharyngeal phases of swallowing. AJR Am J Reontgenol 1990;154:953–63Google Scholar
10Ramsey, GH, Watson, JS, Gramiak, A, Weinberg, SA. Cinefluorographic analysis of the mechanism of swallowing. Radiology 1955;64:498–518Google Scholar
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;6:187–92Google Scholar
12Talley, NJ, Weaver, AL, Zinsmeister, AR, Melton, J 3rd. Onset and disappearance of gastrointestinal symptoms and functional gastrointestinal disorders. Am J Epidemiol 1992;136:165–77Google Scholar
13Kjellen, G, Tibbling, L. Manometric oesophageal function, acid perfusion test and symptomatology in a 55-year-old general population. Clin Physiol 1981;1:405–15Google Scholar
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;300:721–2Google Scholar
15Logemann, JA. Evaluation and Treatment of Swallowing Disorders, 2nd edn. Austin: International Publisher, 1998Google Scholar
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;18:329–35Google Scholar
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;8:997–1006Google Scholar
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;96:35–40Google Scholar
19Belafsky, PC, Postma, GN, Koufman, JA. Validity and reliability of the reflux symptom index (RSI). J Voice 2002;16:274–7Google Scholar