RESEARCH - Laryngeal findings and voice quality in Sjogren's syndrome

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Copyright © 2005 Elsevier Ireland Ltd All rights reserved.

Laryngeal findings and voice quality in Sjögren's syndrome

Fatih Oguta, Rasit Midillia, , , Gonca Oderb, Erkan Zeki Enginc,

Bulent Karcia and Yasemin Kabasakalb

aEge University, Medical Faculty, ENT Department, Izmir Turkey

bEge University, Medical Faculty, Rheumatology Department, Izmir Turkey

cEge University, Electric and Electronics Engineering, Department, Izmir Turkey

Received 12 October 2004; accepted 27 May 2005. Available online 10

August 2005.

Abstract

Objective:

The effect of Sjögren syndrome (SS) on perceptual ratings of the

laryngeal findings using the Reflux Finding Score (RFS) and the Reflux

Symptom Index (RSI) and the objective voice quality using Jitter

(JITT), Pitch Period Perturbation Quotient (PPQ), Shimmer (Shim),

Amplitude Perturbation Quotient (APQ) and Noise-to-Harmonic Ratio

(NHR) was examined.

Methods:

Seventy-seven patients with SS and seventy-seven healthy individuals

for the control group were studied. The Reflux Symptom Index (RSI);

nine-item outcomes instrument for assessment of symptoms in patients

and the Reflux Finding Score (RFS), eight-item laryngoscopic-based

scale for evaluation of laryngeal findings in patients were realised.

The Multi Dimensional Voice Program (MDVP) was used for capturing and

analysis of the voice samples. For comparison of all parameters of

patients and control group subjects, the independent sample t-test was

used.

Results:

The difference of RSI and RFS between patients with SS and control

subjects was statistically significant. The difference of voice

quality parameters between patients with SS and control subjects

expect NHR were statistically significant.

Conclusion:

There is a significant association between SS and a variety of

laryngeal pathologies. The SS patients with reflux symptoms and voice

problems must be examined by an ENT specialist and local laryngeal

manifestations of SS can be treated symptomatically.

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