Alteraciones de la voz, el habla y la deglución en pacientes con síndrome de Sjögren / Alterations in voice, speech and swallowing in patients with Sjögrens syndrome
Acta otorrinolaringol. esp
; 62(4): 255-264, jul.-ago. 2011. tab, ilus
Article
in Spanish
| IBECS
| ID: ibc-92525
Responsible library:
ES1.1
Localization: BNCS
RESUMEN
Objetivo:
Identificar y describir alteraciones de voz, habla y deglución en pacientes con síndrome de Sjögren (SS). Material ymétodos:
Estudio prospectivo, descriptivo, transversal, observacional. Pacientes con SS fueron interrogados y explorados físicamente, realizamos además nasofibrolaringoendoscopia, videolaringoestroboscopia, evaluación fibroendoscópica de la deglución y análisis espectrográfico computarizado de voz y habla (software PRAAT®).Resultados:
Incluimos 31 pacientes (96,7% mujeres), tiempo de evolución promedio 5 años 8meses, edad promedio 48,4 años. El SS en 87% secundario, en 13% primario. Sintomatología 70,9% disfagia, 41,9% disfonía, 35,4% disglosias, 3,2% disartria. Encontramos principalmente alteraciones en uno o más pares craneales (V, VII, IX, X, XII) (67,7%), mucosa nasofaringolaríngea (77,4%), ondulación de la mucosa alterada en cuerdas vocales (90%), mecanismo de la deglución (90,3%), espectrograma de vocales /e/ (58,06%), /i/ (51,61%) y ritmo del trisílabo «pataka» (35,48%).Conclusiones:
El SS presenta alteraciones en voz, habla y deglución, quizá no sólo asociadas axerosis, sino también a trastornos neurológicos probablemente secundarios al síndrome (AU)ABSTRACT
Objective:
To identify and describe voice, speech and swallowing abnormalities in patients with Sjögrens Syndrome (SS). Materials andmethods:
This was a prospective cross-sectional descriptive observational study. Patients with SS were interviewed and physically explored. Nasolaryngeal endoscopy, videolaryngeal stroboscopy, fiberoptic endoscopic evaluation of swallowing and computerized voice spectrographic analysis (PRAAT® software) of voice and speech were also performed.Results:
We included 31 patients (96.7% women). Average time of evolution was 5 years; mean age was 48.4 years. Of these SS cases, 87% were secondary and 13% primary. Symptomatology 70.9% dysphagia, 41.9% dysphonia, 35.4% dysglossia, 3.2% dysarthria. We found abnormalities principally in one or more cranial nerves (V, VII, IX, X, XII) (67.7%), nasopharyngolaryngeal mucosa (77.4%), mucosal wave of vocal cords (90%), swallowing mechanism (90.3%), spectrogram of the vowels /e/ (58.06%) and /i/ (51.61%), and rhythm of the trisyllable pataka(35.48%).Conclusions:
Patients with SS have voice, speech and swallowing abnormalities, not only associated to xerosis, but perhaps also to neurological abnormalities, probably secondary to the syndrome (AU)
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Collection:
National databases
/
Spain
Database:
IBECS
Main subject:
Speech Disorders
/
Deglutition Disorders
/
Sjogren's Syndrome
/
Voice Disorders
/
Cranial Nerve Diseases
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Acta otorrinolaringol. esp
Year:
2011
Document type:
Article
Institution/Affiliation country:
Fundación Hospital Nuestra Señora de la Luz/México
/
Instituto Nacional de Rehabilitación/México