The prevalence of laryngeal pathologies in an academic population.

OBJECTIVE: The main purposes of the present study were to determine the prevalence of laryngeal pathology and voice disorders and to identify their associated risk factors among the workers, teachers, and nonteachers, from a Portuguese university. STUDY DESIGN: Cross-sectional study. METHODOLOGY: A total of 101 participants have volunteered to participate in a voice survey. Data were collected using a questionnaire followed by the diagnosis of laryngeal pathology based on the videolaryngoscopic examination conducted by experienced otolaryngologists. RESULTS: The mean age of the participants was 43 years. Nearly half of the sample had a diagnosis of pathology, with functional disorders being the most frequent laryngeal pathology. None of the demographic, behavioral, and occupational factors analyzed were statistically associated with laryngeal pathology. Although university teachers do not have an increased risk of laryngeal pathology, self-perceived voice disorders were more prevalent in teachers than in nonteachers. Vocal effort and the number of years teaching have a significant effect on voice disorders prevalence among teachers. CONCLUSIONS: Voice disorders have a higher rate of occurrence among university teachers. Demands of teaching, like vocal effort and years of teaching, and not other demographic and/or behavioral factors, are the risk factors that increase the rate of occurrence of voice disorders among the university teachers. Risk factors that predispose to laryngeal pathology were not detected in the present study. However, the high prevalence of functional laryngeal pathologies underlines the importance of further investigation toward this type of laryngeal pathology in this academic population.

Use of cepstral analyses for differentiating normal from dysphonic voices: a comparative study of connected speech versus sustained vowel in European Portuguese female speakers.

OBJECTIVE: The aim of this study was to investigate the use of cepstral peak prominence (CPP) and CPP-smoothed (CPPs) to differentiate dysphonic from nondysphonic voices, using two speech tasks: sustained vowel /a/ and connected speech. STUDY DESIGN: A retrospective study was based on data selected from an archival database of recorded voices. METHODS: Sixty age- and occupation-matched individuals (30 participants with dysphonia and 30 controls) were recorded producing the sustained vowel /a/ and reading the European Portuguese version of "The Story of Arthur the Rat." Recorded voices were analyzed acoustically by measuring CPP and CPPs and auditory-perceptual ratings were related to the acoustic measurements. RESULTS: For the sustained vowel, both CPP and CPPs measures were significantly different between dysphonic and control groups. For connected speech, only CPP values revealed significant differences between the two groups, both in direct and narrative speech. Acoustic measurements correlated with the auditory-perceptual classifications in both sustained vowel and connected speech, although the strongest correlation (0.6 < r < 0.7) was obtained between CPP and the perception of breathiness. CONCLUSIONS: The results of this study suggest that analysis of CPP and CPPs is a promising tool in clinical practice with European Portuguese speakers.

A new device for treatment of persistent otitis media with effusion.

OBJECTIVES: Most children suffer from otitis media with effusion (OME) before starting school. Insertion of grommets into the eardrum for treatment of OME is one of the most common operations performed in childhood. The efficiency and compliance of treatment with a new non-invasive device was evaluated in children with bilateral OME with disease duration of at least 3 months. METHODS: A device for autoinflation was developed to enable a combined modified Valsalva and Politzer maneuver. Ten children, aged 3-8 years (mean: 5 years and 2 months) with OME tested the device for estimation of its ability to ventilate the middle ear. Another thirty-one children, with persistent bilateral OME for at least three months, were divided into a treatment and a control group. Twenty-one children (42 ears), aged 2-7 year (mean: 4 years and 6 months), participated as the treatment group and ten patients (20 ears), aged 3-7 years (mean: 4 years and 5 months), were included as controls. Tympanometry and otomicroscopy were performed at inclusion and at the end of the study. RESULTS: In the treatment group the middle ear pressure was normalized in 52% and improved in 31% of the ears with 7 children (33%) achieving bilateral and 8 (38%) unilateral normalization. In the control group the middle ear pressure was normalized in 15%, improved in 15% and deteriorated in 10% of the ears with one child (10%) achieving bilateral and one child (10%) unilateral normalization. Statistically significant differences (p < 0.001) were observed in the pressure difference and the tympanometry type changes between the treatment and the control group. Otomicroscopic examination revealed that the number of ears judged as OME was reduced by 62% in the treatment group in comparison with 20% in the control group. All children managed to perform the maneuver and no side effects were neither reported nor detected. CONCLUSIONS: The device was efficient in ventilation of the middle ear with normalization or improvement of the negative middle ear pressure and otomicroscopic findings in young children with persistent OME.