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