Department of Internal Medicine and Public Health, University of L'Aquila, Italy.
Acta Otorhinolaryngol Ital. 2011 Jun;31(3):161-6.
Aim of the present study was to investigate the prevalence of allergy in patients affected by both organic and/or functional vocal fold disorders. The secondary aim was to assess the correlation between sex and allergy in dysphonic patients. A retrospective chart review was performed on dysphonic patients. A total of 76 patients underwent fiberoptic endoscopy to assess the objective picture. Logistic regression analyses have been conducted to assess the association between sex and the outcome variables. The laryngoscopic examination revealed the presence of poor glottic closure in 32.9%, hyperkinesias in 11.8%, redness in 11.84%, polyps in 5.3%, oedema in 3.95%, vocal fold hypertrophy in 5.3%, nodules in 42.1%, cordectomy in 2.6%. Allergic rhinitis was present in 56.6%, milk intolerance in 13.2%, asthma in 9.2%, atopic dermatitis in 3.9%, drugs intolerance in 11.8%. A total of 76.32% patients presenting with dysphonia were allergic. A statistically significant association was found between female sex and presence of allergy. In conclusion, allergy testing should be performed routinely on female professional voice users. Mild respiratory disorders must be taken into serious consideration in female professional voice users, who may primarily complain of vocal dysfunction rather than upper and lower respiratory diseases.
本研究旨在调查同时患有器质性和/或功能性声带疾病的患者的过敏患病率。次要目的是评估性别与发音困难患者过敏之间的相关性。对发音困难患者进行了回顾性图表审查。共有 76 名患者接受了纤维喉镜检查以评估客观图像。进行了逻辑回归分析，以评估性别与结局变量之间的关联。喉镜检查显示，32.9%的患者存在声门闭合不良，11.8%的患者存在运动过度，11.84%的患者存在红斑，5.3%的患者存在息肉，3.95%的患者存在水肿，5.3%的患者存在声带肥厚，42.1%的患者存在小结，2.6%的患者存在声带切除术。过敏性鼻炎的发生率为 56.6%，对牛奶不耐受的发生率为 13.2%，哮喘的发生率为 9.2%，特应性皮炎的发生率为 3.9%，药物不耐受的发生率为 11.8%。总共 76.32%的发音困难患者存在过敏。女性性别与过敏之间存在统计学显著关联。总之，应该对女性职业嗓音使用者进行常规的过敏测试。对于主要抱怨声音功能障碍而不是上、下呼吸道疾病的女性职业嗓音使用者，必须认真考虑轻度呼吸障碍。
