The functional state of larynx and its dynamics on the background of conservative treatment of vocalspeech profession patients with chronic tonsillitis
https://doi.org/10.21518/2079-701X-2018-8-58-62
Abstract
Chronic tonsillitis creates conditions for the functional disorders of the voice and deterioration of its acoustic characteristics. The study of larynx functional state (video laryngostroboscopy, acoustic analysis of the voice using the LingWaves Voice Program program, and the Voice Handicap Index) in 40 patients with vocal-speech professions with simple and toxico-allergic 1 forms of chronic tonsillitis. After the course of palatine tonsils lacunaes sanation, the positive dynamics of the average values of the vibratory insufficiency index from 18 to 14 points and the DSI index from 29 to 385 points were noted. Chronic tonsillitis should be considered as one of the reasons for the development of functional dysphonia. Sanitation of lacunae of palatine tonsils improves the functional state of the vocal apparatus, which is confirmed by the results of acoustic analysis of the voice, by video laryngostroscope and VHI questionnaire.
About the Authors
S. V. StarostinaRussian Federation
MD, Prof.
E. E. Avetisyan
Russian Federation
O. V. Borisov
Russian Federation
A. B. Shebunina
Russian Federation
References
1. Vasilenko YuS. Voice: phoniatric aspects. Moscow: Infopoligraph, 2013. 390 p.
2. Liu X, Zheng Y, Yang J, Zou H. The Impact of Tonsillectomy With or Without Adenoidectomy on Voice: Acoustic and Aerodynamic Assessments. Journal of Voice, 2015, 29(3): 346-348.
3. Shirley WP, Wiatrak BJ, Woolley AL Pharyngitis and adenotonsillar disease In: Cummings CW, Flint PW, Haughey BH, eds. Cummings Otolaryngology Head & Neck Surgery 5th ed Philadelphia: Elsevier Mosby, 2010: 2782– 2802.
4. Lukan NV, Sambulov VI, Filatova EV. Conservative treatment of various forms of chronic tonsillitis. Almanac of Clinical Medicine, 2010, 23: 37-41.
5. Karpova EP, Tulupov DA, Vagina EE. Prospects for prevention and treatment of lymphadenotonzillar pathology. RMJ, 2014, 25: 1842.
6. Atan D, Apaydın E, Özcan Kat M et al Does Tonsillectomy Affect Voice in Early or Late Postoperative Periods in Adults. J Voice, 2016 Feb 1. pii: S0892-1997(15)00280-5. doi: 101016/jjvoice201511023.
7. Celebi S, Yelken K, Celik O, Taskin U, Topak M Thermal welding vs cold knife tonsillectomy: a comparison of voice and speech. Int J Pediatr Otorhinolaryngol, 2011 Jan, 75(1): 114-7. doi: 101016/jijporl201010020. Epub 2010 Nov 11.
8. Shilenkova VV. Acoustic analysis of voice. Yaroslavl: Avers Plus, 2015. 176 p.
9. Shamsheva ТЕ. Treatment of chronic tonsillitis and nasal cavity diseases in the phoniatric practice. Ministry of Health of the RSFSR, Methodological guidelines. L., 1984. 20 p.
10. Maksimov I. Phoniatry. Trans. from Bolg. Moscow: Medicine, 1987. 288 p.
11. Ivanova OE. The role of timely treatment of upper respiratory tract diseases in the prevention of vocal disorders in students of the Republican Music College. Voice: interdisciplinary problems. Theory and practice: collection of works. The Russian Public Academy of Voice. Moscow: Granitsa, 2009: 80-86.
12. Rudin LB. Impact of chronic inflammation of the palatine tonsils (chronic tonsillitis) on the functional state of vocal cords and its significance for dysphonia. Multidisciplinarnyj Nauchno-Prakticheskiy Zhurnal Golos I Rech, 2012, 1 (6): 40-50.
13. Ivanchenko GF. Functional microsurgery in patients with voice disorders in paralysis and cicatricial deformities of the larynx: extended abstract of MD dissertation. M., 1992, 26 p.
14. Smirnova NS, Khitrov MV. Phonetically representative text for fundamental and applied research of Russian speech. Izvestiya Vysshikh Uchebnykh Zavedeniy. Priborostroenie, Sankt-Peterburgskiy Natsionalnyy Issledovatelskiy Universitet Informatsionnykh Tekhnologiy, Mekhaniki I Optiki, 2013, 56 (2): 5-10.
Review
For citations:
Starostina SV, Avetisyan EE, Borisov OV, Shebunina AB. The functional state of larynx and its dynamics on the background of conservative treatment of vocalspeech profession patients with chronic tonsillitis. Meditsinskiy sovet = Medical Council. 2018;(8):58-62. (In Russ.) https://doi.org/10.21518/2079-701X-2018-8-58-62