Department of Otolaryngology, University of Health Sciences Umraniye Research and Education Hospital, Istanbul, Turkey,
Department of Otolaryngology, University of Health Sciences Umraniye Research and Education Hospital, Istanbul, Turkey.
ORL J Otorhinolaryngol Relat Spec. 2021;83(5):335-340. doi: 10.1159/000514120. Epub 2021 Mar 2.
The purpose of the present study was to determine the possible effect of allergic rhinitis (AR) on voice change in children with acoustic analysis and Turkish children's voice handicap index-10 (TR-CVHI-10).
This is a case-control study. Forty-one children with AR, and a positive skin prick test, as well as 39 children of controls who had produced a negative skin prick test and lacked a history of allergic disease, were selected for the study. Each assessment included recordings for the purposes of acoustic voice analysis (fundamental frequency [f0], jitter %, shimmer %, and harmonics-to-noise ratio (HNR)), and aerodynamic analysis (maximum phonation time (MPT) and s/z ratio). All participants completed TR-CVHI-10.
The mean TR-CVHI-10 score of the AR group was significantly higher than the control group (p = 0.013). No difference was observed between the AR and control groups in terms of jitter, shimmer, HNR, and MPT values and s/z ratio (p > 0.05). Conversely, the f0 value was more pronounced in controls (270.9 ± 60.3 Hz) than in the AR group (237.7 ± 54.3 Hz) (p = 0.012).
The study's results revealed that AR can have an effect on fundamental frequency and voice quality in children. The diagnostic process should include AR as a potential cause of voice disorders in children.
本研究的目的是通过土耳其儿童嗓音障碍指数-10（TR-CVHI-10）和声学分析来确定变应性鼻炎（AR）对儿童嗓音变化的可能影响。
这是一项病例对照研究。选择 41 名变应性鼻炎患儿（皮试阳性）和 39 名具有阴性皮试结果且无过敏病史的对照组儿童进行研究。每个评估都包括声学语音分析（基频 [f0]、抖动%、颤抖%、谐噪比（HNR））和空气动力学分析（最长发声时间（MPT）和 s/z 比）的录音。所有参与者均完成 TR-CVHI-10 评估。
AR 组的平均 TR-CVHI-10 评分明显高于对照组（p = 0.013）。AR 组和对照组在抖动、颤抖、HNR 和 MPT 值以及 s/z 比方面没有差异（p > 0.05）。相反，对照组的 f0 值（270.9 ± 60.3 Hz）明显高于 AR 组（237.7 ± 54.3 Hz）（p = 0.012）。
研究结果表明，AR 可能会影响儿童的基频和嗓音质量。在诊断过程中，应将 AR 作为儿童嗓音障碍的潜在原因之一。
