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UES pressure during phonation using high-resolution manometry and 24-h dual-probe pH-metry in patients with muscle tension dysphonia

EVELYNE VAN HOUTTE UGent, Kristiane Van Lierde UGent, Evelien D'haeseleer UGent, Bart Van Imschoot and Sofie Claeys UGent (2012) DYSPHAGIA. 27(2). p.198-209
abstract
Muscle tension dysphonia (MTD) is the pathological condition in which excessive tension of the (para)laryngeal musculature leads to a disturbed voice. This study was developed to investigate if differences in pressure in the upper esophageal sphincter (UES) were present in patients with MTD in comparison with normal speakers. Concurrently, all patients were screened for gastroesophageal reflux disease (GERD) as an associated cause or aggravating factor in MTD. The study's design was a prospective case-control study. Fourteen patients with MTD (mean age = 40.2 years, range = 22-62 years) and 14 adult controls (mean age = 33.9 years, range = 23-58 years) were studied. A water-perfusion assembly with 22 sensors was positioned to record pressures during phonation. The mean values of the phonation pressures at the UES were measured. All patients underwent a dual-probe 24-h ambulatory pH impedance in order to measure the pH and the height of the refluxes from the lower esophageal sphincter to the hypopharynx. There were no significant differences in the UES pressures of patients with MTD compared to those of normal speakers during phonation tasks and reading. Two patients were identified with GERD. In these patients the refluxate reached the UES but this did not influence the UES pressures. We conclude that this study was not able to detect differences in phonation-induced UES pressures between patients with MTD and normal speakers using a standard water-perfusion high-resolution manometry assembly. Future investigation should be focused on developing probes with closely spaced sensors in the hypopharynx and the esophagus in order to investigate if differences in UES pressures in these study populations are present.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Deglutition, Deglutition disorders, Voice disorder, Reflux, pH-metry, Manometry, Muscle tension dysphonia, REFLUX SYMPTOM INDEX, VOICE DISORDERS, FUNCTIONAL DYSPHONIA, SEVERITY INDEX, LARYNGEAL, PREVALENCE, VOLUNTEERS
journal title
DYSPHAGIA
Dysphagia
volume
27
issue
2
pages
198 - 209
Web of Science type
Article
Web of Science id
000304206800006
JCR category
OTORHINOLARYNGOLOGY
JCR impact factor
1.938 (2012)
JCR rank
8/43 (2012)
JCR quartile
1 (2012)
ISSN
0179-051X
DOI
10.1007/s00455-011-9354-0
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2969487
handle
http://hdl.handle.net/1854/LU-2969487
date created
2012-08-07 15:34:31
date last changed
2012-08-10 10:05:37
@article{2969487,
  abstract     = {Muscle tension dysphonia (MTD) is the pathological condition in which excessive tension of the (para)laryngeal musculature leads to a disturbed voice. This study was developed to investigate if differences in pressure in the upper esophageal sphincter (UES) were present in patients with MTD in comparison with normal speakers. Concurrently, all patients were screened for gastroesophageal reflux disease (GERD) as an associated cause or aggravating factor in MTD. The study's design was a prospective case-control study. Fourteen patients with MTD (mean age = 40.2 years, range = 22-62 years) and 14 adult controls (mean age = 33.9 years, range = 23-58 years) were studied. A water-perfusion assembly with 22 sensors was positioned to record pressures during phonation. The mean values of the phonation pressures at the UES were measured. All patients underwent a dual-probe 24-h ambulatory pH impedance in order to measure the pH and the height of the refluxes from the lower esophageal sphincter to the hypopharynx. There were no significant differences in the UES pressures of patients with MTD compared to those of normal speakers during phonation tasks and reading. Two patients were identified with GERD. In these patients the refluxate reached the UES but this did not influence the UES pressures. We conclude that this study was not able to detect differences in phonation-induced UES pressures between patients with MTD and normal speakers using a standard water-perfusion high-resolution manometry assembly. Future investigation should be focused on developing probes with closely spaced sensors in the hypopharynx and the esophagus in order to investigate if differences in UES pressures in these study populations are present.},
  author       = {VAN HOUTTE, EVELYNE and Van Lierde, Kristiane and D'haeseleer, Evelien and Van Imschoot, Bart and Claeys, Sofie},
  issn         = {0179-051X},
  journal      = {DYSPHAGIA},
  keyword      = {Deglutition,Deglutition disorders,Voice disorder,Reflux,pH-metry,Manometry,Muscle tension dysphonia,REFLUX SYMPTOM INDEX,VOICE DISORDERS,FUNCTIONAL DYSPHONIA,SEVERITY INDEX,LARYNGEAL,PREVALENCE,VOLUNTEERS},
  language     = {eng},
  number       = {2},
  pages        = {198--209},
  title        = {UES pressure during phonation using high-resolution manometry and 24-h dual-probe pH-metry in patients with muscle tension dysphonia},
  url          = {http://dx.doi.org/10.1007/s00455-011-9354-0},
  volume       = {27},
  year         = {2012},
}

Chicago
VAN HOUTTE, EVELYNE, Kristiane Van Lierde, Evelien D’haeseleer, Bart Van Imschoot, and Sofie Claeys. 2012. “UES Pressure During Phonation Using High-resolution Manometry and 24-h Dual-probe pH-metry in Patients with Muscle Tension Dysphonia.” Dysphagia 27 (2): 198–209.
APA
VAN HOUTTE, E., Van Lierde, K., D’haeseleer, E., Van Imschoot, B., & Claeys, S. (2012). UES pressure during phonation using high-resolution manometry and 24-h dual-probe pH-metry in patients with muscle tension dysphonia. DYSPHAGIA, 27(2), 198–209.
Vancouver
1.
VAN HOUTTE E, Van Lierde K, D’haeseleer E, Van Imschoot B, Claeys S. UES pressure during phonation using high-resolution manometry and 24-h dual-probe pH-metry in patients with muscle tension dysphonia. DYSPHAGIA. 2012;27(2):198–209.
MLA
VAN HOUTTE, EVELYNE, Kristiane Van Lierde, Evelien D’haeseleer, et al. “UES Pressure During Phonation Using High-resolution Manometry and 24-h Dual-probe pH-metry in Patients with Muscle Tension Dysphonia.” DYSPHAGIA 27.2 (2012): 198–209. Print.