Research Article
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Allerjik rinitin tıbbi tedavileri sonrası objektif ve subjektif ses değişikliklerinin karşılaştırılması

Year 2019, Volume: 44 Issue: 3, 1102 - 1109, 30.09.2019
https://doi.org/10.17826/cumj.522250

Abstract



Amaç: Bu çalışmada allerjik rinittte farklı tedavilerin ses kalitesine olan etkisini araştırılması amaçlanmıştır. Bu nedenle allerjik rinit hastalarında farklı tedavilerinde, tedavi öncesi ve tedavi sonrası objektif ve sübjektif ses parametrelerini karşılaştırılmıştır.

Gereç ve Yöntem: 1.grupta intranasal steroid sprey, 2.grupta intranasal steroid sprey+oral antihistaminik tedavisi verdik. Objektif analizde Praat analiz sisteminde  temel frekans(F0), shimmer%, jitter%, ses-harmoni oranı(NHR)  ortalama değerlerini ;  sübjektif ses analizinde total nasal semptom skoru(TNSS) ve ses handikap indeksi(VHI) skorlarını  karşılaştırılmıştır. .

Bulgular: Grup 1'de F0 hariç her iki grupta da tedavi sonrası tüm ses parametreleri gelişti. 2. grupta tedaviden sonra F0 değerleri tedaviden öncekilerden anlamlı derecede yüksekti; 1. gruptaki F0 değerleri daha yüksekti ancak anlamlı değildi. Subjektif parametreler ile F0,% jitter,% shimmer ve NHR değerleri dahil objektif parametreler arasında grup 1 ve grup 2 arasında anlamlı fark yoktu.

Sonuç: Allerjik rinit tedavisinde hem intranasal steroid sprey hem de intranasal steroid sprey+oral antihistaminik  kullanımı ile ses kalitesi artmaktadır. Ancak kombine tedavi ile objektif ve sübjektif ses analizlerinde anlamlı farklılık saptanmamıştır. 


References

  • Tyurin YA, Lissovskaya SA, Fassahov RS, Mustafin IG, Shamsutdinov AF, Shilova AF, et al. Cytokine Profile of Patients with Allergic Rhinitis Caused by Pollen, Mite, and Microbial Allergen Sensitization. J Immunol Res. 2017;3054217.
  • Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122:1-84.
  • Jackson-Menaldi CA, Dzul Al, Holland RW. Allergies and vocal fold edema: a preliminary report. J Voice. 1997;11:138–43.
  • Sandhu GS, Kuchai R. The larynx in cough. Cough. 2013; 9:16.
  • Hamdan AL, Sibai A, Youssef M, Deeb R, Zaitoun F. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg. 2006;132:547–9.
  • Simberg S, Sala E, Tuomainen J, Rönnemaa AM. Vocal symptoms and allergy–a pilot study. J Voice. 2009; 23:136–9.
  • Ohlsson AC, Andersson EM, Södersten M, Simberg S, Barregård l. Prevalence of voice symptoms and risk factors in teacher students. J Voice. 2012;26: 629–34.
  • Millqvist E, Bende M, Brynnel M, Johansson I, Kappel S, Ohlsson AC. Voice change in seasonal allergic rhinitis. J Voice. 2008;22:512–5.
  • Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. Committee on Phoniatrics of the European Laryngological Society (ELS) , a basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch Otorhinolarygol. 2001;258:77–82.
  • Dogan M, Eryuksel E, Kocak I, Celikel T, Sehitoglu MA. Subjective and objective evaluation of voice quality in patients with asthma. J Voice. 2005; 21:224–30.
  • Niedzielska G. Acoustic estimation of voice when incorrect resonance function of the nose takes place. Int J Pediatr Otorhinolaryngol. 2005;69:1065-9.
  • Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic rhinitis and its impact on asthma 2008 update. Allergy. 2008;63 :8-160.
  • Salapatek A, Nelson V, McCue S, Patel P. Assessment of total nasal symptom score (TNSS) during the validation of a novel aerosolized cat dander environmental exposure chamber clinic model. Am J Respir Crit Care Med. 2009; 179:5704.
  • Kiliç MA, Okur E, Yildirim I, Oğüt F, Denizoğlu I, Kizilay A, et al. Reliability and validity of the Turkish version of the Voice Handicap Index. Kulak Burun Bogaz Ihtis Derg. 2008;18:139-47.
  • Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114:1549–56.
  • Cingi C, Gevaert P, Mösges R, Rondon C, Hox V, Rudenko M, et al. Multi-morbidities of allergic rhinitis in adults: European Academy of Allergy and Clinical Immunology Task Force Report. Clin Transl Allergy. 2017; 7: 17.
  • Juniper E, Guyatt GH, Archer B, Ferrie PJ. Aqueous beclomethasone dipropionate in the treatment of ragweed pollen-induced rhinitis: further exploration of “as needed” use. J Allergy Clin Immunol. 1993;92:66-72.
  • Siedman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: Allergic rhinitis. Otolaryngol Head Neck Surg. 2015;152:1-43.
  • Brockmann M, Storck C, Carding PN, Drinnan MJ . Voice loudness and gender effects on jitter and shimmer in healthy adults. J Speech Lang Hear Res. 2008; 51:1–9.
  • Pegoraro-Krook MI, Dutka-Souza JC, Williams WN, Teles Magalhaes LC, Rossetto PC, Riski JE. Effect of nasal decongestion on nasalance measures. Cleft Palate Craniofac J. 2006; 3:289–94.
  • Hosemann W, Gode U, Dunker JE, Eysholdt U . Influence of endoscopic sinus surgery on voice quality. Eur Arch Otorhinolaryngol. 1998; 255:499–503.
  • Duncan RB, Duncan TD. Otolaryngeal allergy in Wellington.1971-1975. N Z Med J. 1977;85:45-8.
  • Cecil M,Tindall L,Haydon R. The realationship between dysphonia and sinusitis:a pilot study. J Voice. 2001;15:270-7.
  • Williams RI. Allergic laryngitis. Ann Otol Rhinol Laryngol. 1972;81:558-65.
  • Thompson AK, Juniper E, Meltzer EO. Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol. 2000;85:338-47.
  • Roth DF,Ferguson BJ. Vocal allergy:Recent advances in understanding the role of allergy in dysphonia. Curr Opin Otolaryngol Head Neck Surg. 2010;18:176-81.
  • Young VN, Jeong K, Rothenberger SD, Gillespie AI, Smith LJ, Gartner-Schmidt JL,et al. Minimal clinically important difference of voice handicap index-10 in vocal fold paralysis. Laryngoscope. 2018;128: 1419-24.
  • Acar A, Cayonu M, Ozman M, Eryilmaz A. Changes in acoustic parameters of voice after endoscopic sinus surgery in patients with nasal polyposis. Indian J Otolaryngol Head Neck Surg. 2014;66:381-5.
  • Develioglu ON, Paltura C, Koleli H, Kulekci M. The effect of medical treatment on voice quality in allergic rhinitis. Indian J Otolaryngol Head Neck Surg. 2013;65:426-30.
  • Maryn Y, Corthals P, De Bodt M, Van Cauwenberge P, Deliyski D. Perturbation measures of voice: a comparative study between multi-dimensional voice program and Praat. Folia Phoniatr. Logop. 2009; 61:217–26.
  • Mehta D, Hillman R. Voice assessment: updates on perceptual, acoustic, aerodynamic, and endoscopic imaging methods. Curr Opin Otolaryngol Head Neck Surg. 2008;16:211–5.

Comparison of objective and subjective voice change parameters after medical treatments in allergic rhinitis

Year 2019, Volume: 44 Issue: 3, 1102 - 1109, 30.09.2019
https://doi.org/10.17826/cumj.522250

Abstract

Purpose: In the present study, we aimed to investigate the efficacy of different treatments on voice quality in allergic rhinitis. Thus we compared the objective and subjective voice parameters of patients with allergic rhinitis before and after treatment groups. 

Materials and Methods: Patiens treated with intranasal steroid sprey is the 1. group, intranasal steroid spray+oral antihistamine is the 2. group. The objective ( fundamental frequency(F0) ,shimmer%, jitter%, noise to harmonics ratio (NHR) and subjective (total nasal symptom score(TNSS), voice-handicap index(VHI ) )  voice analysis were compared .

Results: All voice parameters were improved after treatment in both groups except F0 in group 1. F0 values after treatment in the 2. group was significantly higher than before treatment; F0 values  in the 1. group was higher but it was insignificant. There was no significant difference between the subjective parameters and objective parameters including F0, jitter%, shimmer% and NHR values between group 1 and group 2. 

Conclusion: We found that voice quality improved with intranasal steroid sprey treatment, and also with the addition of oral antihistamine to intranasal steroid in allergic rhinitis. However, no significant difference was detected in voice analysis with this combined treatment in the subjective and objective evaluation .


References

  • Tyurin YA, Lissovskaya SA, Fassahov RS, Mustafin IG, Shamsutdinov AF, Shilova AF, et al. Cytokine Profile of Patients with Allergic Rhinitis Caused by Pollen, Mite, and Microbial Allergen Sensitization. J Immunol Res. 2017;3054217.
  • Wallace DV, Dykewicz MS, Bernstein DI, Blessing-Moore J, Cox L, Khan DA, et al. The diagnosis and management of rhinitis: an updated practice parameter. J Allergy Clin Immunol. 2008;122:1-84.
  • Jackson-Menaldi CA, Dzul Al, Holland RW. Allergies and vocal fold edema: a preliminary report. J Voice. 1997;11:138–43.
  • Sandhu GS, Kuchai R. The larynx in cough. Cough. 2013; 9:16.
  • Hamdan AL, Sibai A, Youssef M, Deeb R, Zaitoun F. The use of a screening questionnaire to determine the incidence of allergic rhinitis in singers with dysphonia. Arch Otolaryngol Head Neck Surg. 2006;132:547–9.
  • Simberg S, Sala E, Tuomainen J, Rönnemaa AM. Vocal symptoms and allergy–a pilot study. J Voice. 2009; 23:136–9.
  • Ohlsson AC, Andersson EM, Södersten M, Simberg S, Barregård l. Prevalence of voice symptoms and risk factors in teacher students. J Voice. 2012;26: 629–34.
  • Millqvist E, Bende M, Brynnel M, Johansson I, Kappel S, Ohlsson AC. Voice change in seasonal allergic rhinitis. J Voice. 2008;22:512–5.
  • Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. Committee on Phoniatrics of the European Laryngological Society (ELS) , a basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Eur Arch Otorhinolarygol. 2001;258:77–82.
  • Dogan M, Eryuksel E, Kocak I, Celikel T, Sehitoglu MA. Subjective and objective evaluation of voice quality in patients with asthma. J Voice. 2005; 21:224–30.
  • Niedzielska G. Acoustic estimation of voice when incorrect resonance function of the nose takes place. Int J Pediatr Otorhinolaryngol. 2005;69:1065-9.
  • Bousquet J, Khaltaev N, Cruz AA, Denburg J, Fokkens WJ, Togias A, et al. Allergic rhinitis and its impact on asthma 2008 update. Allergy. 2008;63 :8-160.
  • Salapatek A, Nelson V, McCue S, Patel P. Assessment of total nasal symptom score (TNSS) during the validation of a novel aerosolized cat dander environmental exposure chamber clinic model. Am J Respir Crit Care Med. 2009; 179:5704.
  • Kiliç MA, Okur E, Yildirim I, Oğüt F, Denizoğlu I, Kizilay A, et al. Reliability and validity of the Turkish version of the Voice Handicap Index. Kulak Burun Bogaz Ihtis Derg. 2008;18:139-47.
  • Rosen CA, Lee AS, Osborne J, Zullo T, Murry T. Development and validation of the voice handicap index-10. Laryngoscope. 2004;114:1549–56.
  • Cingi C, Gevaert P, Mösges R, Rondon C, Hox V, Rudenko M, et al. Multi-morbidities of allergic rhinitis in adults: European Academy of Allergy and Clinical Immunology Task Force Report. Clin Transl Allergy. 2017; 7: 17.
  • Juniper E, Guyatt GH, Archer B, Ferrie PJ. Aqueous beclomethasone dipropionate in the treatment of ragweed pollen-induced rhinitis: further exploration of “as needed” use. J Allergy Clin Immunol. 1993;92:66-72.
  • Siedman MD, Gurgel RK, Lin SY, Schwartz SR, Baroody FM, Bonner JR, et al. Clinical practice guideline: Allergic rhinitis. Otolaryngol Head Neck Surg. 2015;152:1-43.
  • Brockmann M, Storck C, Carding PN, Drinnan MJ . Voice loudness and gender effects on jitter and shimmer in healthy adults. J Speech Lang Hear Res. 2008; 51:1–9.
  • Pegoraro-Krook MI, Dutka-Souza JC, Williams WN, Teles Magalhaes LC, Rossetto PC, Riski JE. Effect of nasal decongestion on nasalance measures. Cleft Palate Craniofac J. 2006; 3:289–94.
  • Hosemann W, Gode U, Dunker JE, Eysholdt U . Influence of endoscopic sinus surgery on voice quality. Eur Arch Otorhinolaryngol. 1998; 255:499–503.
  • Duncan RB, Duncan TD. Otolaryngeal allergy in Wellington.1971-1975. N Z Med J. 1977;85:45-8.
  • Cecil M,Tindall L,Haydon R. The realationship between dysphonia and sinusitis:a pilot study. J Voice. 2001;15:270-7.
  • Williams RI. Allergic laryngitis. Ann Otol Rhinol Laryngol. 1972;81:558-65.
  • Thompson AK, Juniper E, Meltzer EO. Quality of life in patients with allergic rhinitis. Ann Allergy Asthma Immunol. 2000;85:338-47.
  • Roth DF,Ferguson BJ. Vocal allergy:Recent advances in understanding the role of allergy in dysphonia. Curr Opin Otolaryngol Head Neck Surg. 2010;18:176-81.
  • Young VN, Jeong K, Rothenberger SD, Gillespie AI, Smith LJ, Gartner-Schmidt JL,et al. Minimal clinically important difference of voice handicap index-10 in vocal fold paralysis. Laryngoscope. 2018;128: 1419-24.
  • Acar A, Cayonu M, Ozman M, Eryilmaz A. Changes in acoustic parameters of voice after endoscopic sinus surgery in patients with nasal polyposis. Indian J Otolaryngol Head Neck Surg. 2014;66:381-5.
  • Develioglu ON, Paltura C, Koleli H, Kulekci M. The effect of medical treatment on voice quality in allergic rhinitis. Indian J Otolaryngol Head Neck Surg. 2013;65:426-30.
  • Maryn Y, Corthals P, De Bodt M, Van Cauwenberge P, Deliyski D. Perturbation measures of voice: a comparative study between multi-dimensional voice program and Praat. Folia Phoniatr. Logop. 2009; 61:217–26.
  • Mehta D, Hillman R. Voice assessment: updates on perceptual, acoustic, aerodynamic, and endoscopic imaging methods. Curr Opin Otolaryngol Head Neck Surg. 2008;16:211–5.
There are 31 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research
Authors

Sanem Okşan Erkan 0000-0001-5900-520X

Birgül Tuhanioğlu 0000-0002-8596-361X

Talih Özdaş 0000-0003-3651-1892

Zeynel Abidin Erkan This is me 0000-0002-5675-0420

Kemal Tüzün This is me 0000-0002-3882-6938

Güzin Özden 0000-0003-4856-2267

Özgül Akın Şenkal 0000-0002-3554-8274

Publication Date September 30, 2019
Acceptance Date March 6, 2019
Published in Issue Year 2019 Volume: 44 Issue: 3

Cite

MLA Erkan, Sanem Okşan et al. “Comparison of Objective and Subjective Voice Change Parameters After Medical Treatments in Allergic Rhinitis”. Cukurova Medical Journal, vol. 44, no. 3, 2019, pp. 1102-9, doi:10.17826/cumj.522250.