Endoscopic and Phoniatric Evaluation in Singing Students

Andrea Nacci, Giovanna Baracca, Salvatore Osvaldo Romeo, Maria Denise Cavaliere, Maria Rosaria Barillari, Stefano Berrettini, Francesco Ursino, Bruno Fattori

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Objectives: In To analyze laryngostroboscopic findings and ENT/phoniatric examination results in a group of singing students and in a control group of non-singing subjects to emphasize the importance of ENT/phoniatric examination and of laryngostroboscopy before taking up singing. Methods: 56 singing students and 60 healthy euphonic non-singer volunteers were recruited. In each subject a perceptual assessment and a self-assessment (VHI) of the voice were performed. The singing students filled out the Singing-VHI. All subjects underwent flexible fiberoptic endoscopy and laryngostroboscopy. All subjects were evaluated through the Reflux Symptom Index (RSI) and the Reflux Finding Score (RFS). Results: At laryngostroboscopy, 60.7% of students presented pathological findings, versus 20% of controls (P < 0.0001). Incomplete glottic closure (35.7% vs. 13.3%), supraglottic hypertonus (16.1% vs. 5%), organic lesions (bilateral nodules, cysts, sulcus vergeture) (17.9% vs. 3.3%), posterior erythema (16.1% vs. 5%) and laryngeal edema (14.3% vs 3.3%) were more frequent in the students. The most common symptoms in singers were phonasthenia (37.5 % vs 6.7%; P = 0.0001) and mucus sensation (17.9% vs. 5%, P = 0.03). S-VHI showed higher values in students with pathological laryngostroboscopy (P < 0.0001). Finally, average RSI and RFS were higher in students. Conclusions: Due to the high percentage of organic and functional voice disorders in singing students, it would be desirable that every subject who is going to start singing underwent an ENT/phoniatric investigation with videostrobolaryngoscopy to ascertain vocal folds healthy condition.

Original languageEnglish
Pages (from-to)135-142
JournalJournal of Voice
Volume33
Issue number2
DOIs
Publication statusPublished - 2019

Fingerprint

Singing
Students
Laryngeal Edema
Voice Disorders
Vocal Cords
Mucus
Erythema
Tongue
Endoscopy
Cysts
Volunteers
Control Groups

Keywords

  • Dysphonia
  • Laryngostroboscopy
  • Phoniatric evaluation
  • S-VHI
  • Singing students

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Speech and Hearing
  • LPN and LVN

Cite this

Nacci, A., Baracca, G., Romeo, S. O., Cavaliere, M. D., Barillari, M. R., Berrettini, S., ... Fattori, B. (2019). Endoscopic and Phoniatric Evaluation in Singing Students. Journal of Voice, 33(2), 135-142. https://doi.org/10.1016/j.jvoice.2017.10.006

Endoscopic and Phoniatric Evaluation in Singing Students. / Nacci, Andrea; Baracca, Giovanna; Romeo, Salvatore Osvaldo; Cavaliere, Maria Denise; Barillari, Maria Rosaria; Berrettini, Stefano; Ursino, Francesco; Fattori, Bruno.

In: Journal of Voice, Vol. 33, No. 2, 2019, p. 135-142.

Research output: Contribution to journalArticle

Nacci, A, Baracca, G, Romeo, SO, Cavaliere, MD, Barillari, MR, Berrettini, S, Ursino, F & Fattori, B 2019, 'Endoscopic and Phoniatric Evaluation in Singing Students', Journal of Voice, vol. 33, no. 2, pp. 135-142. https://doi.org/10.1016/j.jvoice.2017.10.006
Nacci A, Baracca G, Romeo SO, Cavaliere MD, Barillari MR, Berrettini S et al. Endoscopic and Phoniatric Evaluation in Singing Students. Journal of Voice. 2019;33(2):135-142. https://doi.org/10.1016/j.jvoice.2017.10.006
Nacci, Andrea ; Baracca, Giovanna ; Romeo, Salvatore Osvaldo ; Cavaliere, Maria Denise ; Barillari, Maria Rosaria ; Berrettini, Stefano ; Ursino, Francesco ; Fattori, Bruno. / Endoscopic and Phoniatric Evaluation in Singing Students. In: Journal of Voice. 2019 ; Vol. 33, No. 2. pp. 135-142.
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