• 作者：Laura Daniela Ruiz Allec^a ; ^{danyallec@yahoo.com} ; Xochiquetzal Herná ; ndez Ló ; pez^a ; Juanita Beatriz Arreguí ; n Porras^a ; Regina Velasco Ramos^b ; Julia Cristina Pacheco del Valle^b ; Á ; ngel Israel Pé ; rez Garcí ; a^b
• 关键词：Sí ; ndrome de Sjö ; gren ; Aná ; lisis de voz ; Evaluació ; n nasoendoscó ; pica de la deglució ; n ; Habla ; Pares craneales
• 刊名：Acta Otorrinolaringol贸gica Espa帽ola
• 出版年：2011
• 期刊代码：pca34_00016519
• 类别：med
• 出版时间：July-August 2011
• 卷：62
• 期：4
• 页码：255-264
• 文件大小：438 K

Objective

To identify and describe voice, speech and swallowing abnormalities in patients with Sj枚gren's Syndrome (SS).

Materials and methods

This was a prospective cross-sectional descriptive observational study. Patients with SS were interviewed and physically explored. Nasolaryngeal endoscopy, video laryngeal stroboscopy, fiberoptic endoscopic evaluation of swallowing and computerized voice spectrographic analysis (PRAAT庐 software) of voice and speech were also performed.

Results

We included 31 patients (96.7%women). Average time of evolution was 5 years; mean age was 48.4 years. Of these SS cases, 87%were secondary and 13%primary. Symptomatology: 70.9%dysphagia, 41.9%dysphonia, 35.4%dysglossia, 3.2%dysarthria. We found abnormalities principally in: one or more cranial nerves (V, VII, IX, X, XII) (67.7%), nasopharyngolaryngeal mucosa (77.4%), mucosal wave of vocal cords (90%), swallowing mechanism (90.3%), spectrogram of the vowels /e/ (58.06%) and /i/ (51.61%), and rhythm of the trisyllable 鈥減ataka鈥?(35.48%).

Conclusions

Patients with SS have voice, speech and swallowing abnormalities, not only associated to xerosis, but perhaps also to neurological abnormalities, probably secondary to the syndrome.