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http://www.codas.periodikos.com.br/article/doi/10.1590/2317-1782/20202018052
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Artigo Original

Signs and symptoms of laryngopharyngeal reflux and its relation to complaints and vocal quality

Sinais e sintomas de refluxo laringofaríngeo e sua relação com queixas e qualidade vocal

Gabriela Ricci; Aline Epiphanio Wolf; Aline Pires Barbosa; Felipe Moreti; Ingrid Gielow; Mara Behlau

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Abstract

Purpose: To verify the association between laryngopharyngeal reflux (LPR) with age, gender, vocal deviation and voice complaints. Methods: The study included patients between 18 and 70 years old, referred to the Otorhinolaryngology service for complaints of voice or reflux, of both sexes. Endolaryngeal findings were classified using the Reflux Finding Score (RFS) scale. The presence or absence of vocal and reflux complaints was verified and correlated with the RFS classification. On the same date, they were submitted to sustained vowel voice recording and chained speech. The auditory-perceptual assessment was performed by a speech therapist, classifying the general degree of vocal deviation based on the GRBASI scale. Results: Ninety-seven patients were evaluated, with a mean age of 42.6 years, 62.3% female, and mean RFS scores of 6.26 points. Among the patients, 48 subjects had vocal complaints, 34 women with a mean age of 44.9 years and an average RFS score of 6.94 points. The other 49 individuals had no vocal complaints, and of these 27 were women, with a mean age of 41.2 years and a mean RFS score of 5.5 points. The variables “reflux complaint”, “vocal complaint” and age were the ones that most correlated with the RFS scale scores. Conclusion: There is a relationship among reflux complaints, laryngeal findings and vocal complaint

Keywords

Voice; Dysphonia; Gastroesophageal Reflux; Voice Quality; Speech, Language and Hearing Sciences

Resumo

Objetivo: Verificar a associação entre Refluxo laringofaríngeo (RLF) com idade, sexo, desvio vocal e queixas de voz. Método: Participaram do estudo pacientes entre 18 e 70 anos, encaminhados ao serviço de otorrinolaringologia por queixas de voz ou refluxo, de ambos os sexos. Os achados endolaríngeos foram classificados utilizando a escala Reflux Finding Score (RFS). A presença ou não de queixas vocais e de refluxo foi verificada e correlacionada com a classificação RFS. Na mesma data, os pacientes foram submetidos à gravação de voz de vogal sustentada e fala encadeada. A avaliação perceptivo-auditiva foi realizada por uma fonoaudióloga, classificando o grau geral do desvio vocal com base na escala GRBASI. Resultados: Foram avaliados 97 pacientes, com média de idade de 42,6 anos, sendo 62,3% do sexo feminino e média dos escores da escala RFS igual a 6,26 pontos. Do total de pacientes, 48 indivíduos apresentavam queixas vocais, sendo 34 mulheres com idade média de 44,9 anos e escore RFS médio de 6,94 pontos. Os outros 49 indivíduos não apresentavam queixas vocais, e desses 27 eram mulheres, com idade média de 41,2 anos e média de escore RFS igual a 5,5 pontos. As variáveis “queixa de refluxo”, “queixa vocal” e idade foram as que mais se correlacionaram com os escores da escala RFS. Conclusão: Há relação entre queixas de refluxo, achados laríngeos e queixa vocal.

Palavras-chave

Voz; Disfonia; Refluxo Gastroesofágico; Qualidade da Voz; Fonoaudiologia

Referências

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Submetido em:
04/04/2019

Aceito em:
27/10/2019

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