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Prevalence of dysphagia in patients with muscle tension dysphonia

Published online by Cambridge University Press:  05 April 2019

A-L Hamdan*
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
E Khalifee
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
H Jaffal
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
A Ghanem
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
A El Hage
Affiliation:
Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, Lebanon
*
Author for correspondence: Dr Abdul-Latif Hamdan, Department of Otolaryngology – Head and Neck Surgery, American University of Beirut Medical Center, PO Box 11-0236, Beirut, Lebanon E-mail: ah77@aub.edu.lb Fax: +961 1 350 000

Abstract

Background

It is hypothesised that patients with muscle tension dysphonia have a high prevalence of dysphagia in comparison to normative values reported in the literature.

Methods

This prospective study included 44 subjects diagnosed with muscle tension dysphonia, based on symptoms and laryngoscopic findings, and 25 control subjects with no history of dysphonia and normal laryngeal examination findings. Demographic data included age, gender and smoking history. The aetiology of muscle tension dysphonia was classified as primary or secondary. Evaluation involved the Eating Assessment Tool (‘EAT-10’) questionnaire.

Results

Patients’ mean age was 45.93 ± 14.95 years, with a female to male ratio of 1.2:1. Fourteen patients had primary muscle tension dysphonia, while 30 had secondary muscle tension dysphonia. Among patients with secondary muscle tension dysphonia, Reinke's oedema was the most common aetiology. There was a significant difference in the prevalence of dysphagia between the study group and the control group (40.9 per cent vs 8 per cent respectively, p < 0.05).

Conclusion

This study demonstrates a higher prevalence of dysphagia in patients with the presenting symptom of dysphonia and diagnosed with muscle tension dysphonia in comparison to subjects with no dysphonia.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited, 2019 

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Footnotes

Dr A-L Hamdan takes responsibility for the integrity of the content of the paper

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