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The diagnosis, clinical findings and treatment options for Parkinson's disease patients attending a tertiary referral voice clinic

Published online by Cambridge University Press:  31 January 2017

N Gibbins ,
R Awad ,
S Harris  and
A Aymat
N Gibbins*
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
R Awad
Affiliation:
Department of Speech Therapy, University Hospital Lewisham, London, UK Department of Phoniatric Sciences, Kasr Al-Aini Teaching Hospital, Cairo University, Egypt
S Harris
Affiliation:
Department of Speech Therapy, University Hospital Lewisham, London, UK
A Aymat
Affiliation:
Department of Otolaryngology, University Hospital Lewisham, London, UK
*
Address for correspondence: Mr N Gibbins, Department of Otolaryngology, University Hospital Lewisham, Lewisham High Street, London SE13 6LH, UK E-mail: nicholas.gibbins@nhs.net
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Abstract

Background:

Parkinson's disease is a degenerative disorder of the central nervous system, mainly affecting motor functions including the voice. The aetiology of dysphonia changes throughout the course of disease progression.

Objectives:

This study aimed to determine the laryngeal changes seen in early-, mid- and late-stage Parkinson's disease. Thirteen patients with Parkinson's disease are presented, representing the largest series of voice patients with Parkinson's disease seen in a voice clinic in the literature.

Method:

Age, gender, severity of handicap caused by voice disorder and possible associated reflux symptoms were examined.

Results:

Laryngeal function appeared to change gradually with progression of the disease, and may have been affected by the presence of pre-existing laryngeal pathology.

Conclusion:

Laryngeal function in Parkinson's disease appears to go through a series of changes that may be helped by both therapeutic and surgical interventions. These patients should be treated within the confines of a voice clinic multidisciplinary model.

Keywords

DysphoniaParkinson DiseaseLarynxLaryngoplastyMedialization LaryngoplastyInjection

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 4 , April 2017 , pp. 357 - 362
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

Presented as a poster at the 15th British Academic Conference of Otolaryngology, 8–10 July 2015, Liverpool, UK.

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