Author | Ruas, Ana Cristina Nunes | |
Author | Lucena, Márcia Mendonça | |
Author | Costa, Ananda Dutra da | |
Author | Vieira, Jéssica Rafael | |
Author | Melo, Maria Helena de Araújo | |
Author | Terceiro, Benivaldo Ramos Ferreira | |
Author | Torraca, Tania Salgado de Sousa | |
Author | Schubach, Armando de Oliveira | |
Author | Rosalino, Claudia Maria Valete | |
Access date | 2015-06-02T15:56:10Z | |
Available date | 2015-06-02T15:56:10Z | |
Document date | 2014 | |
Citation | RUAS, Ana Cristina Nunes et al. Voice disorders in mucosal leishmaniasis. Plos One, v.9, n.7, p.e101831, 2014. | pt_BR |
ISSN | 1932-6203 | |
URI | https://www.arca.fiocruz.br/handle/icict/10639 | |
Sponsorship | INI, Papes VI/FIOCRUZ, CNPq, FAPERJ | pt_BR |
Language | eng | pt_BR |
Publisher | Public Library of Science | pt_BR |
Rights | open access | pt_BR |
Title | Voice disorders in mucosal leishmaniasis | pt_BR |
Type | Article | pt_BR |
DOI | 10.1371/journal.pone.0101831 | |
Abstract | Introduction
Leishmaniasis is considered as one of the six most important infectious diseases because of its high detection coefficient and ability to produce deformities. In most cases, mucosal leishmaniasis (ML) occurs as a consequence of cutaneous leishmaniasis. If left untreated, mucosal lesions can leave sequelae, interfering in the swallowing, breathing, voice and speech processes and requiring rehabilitation.
Objective
To describe the anatomical characteristics and voice quality of ML patients.
Materials and Methods
A descriptive transversal study was conducted in a cohort of ML patients treated at the Laboratory for Leishmaniasis Surveillance of the Evandro Chagas National Institute of Infectious Diseases - Fiocruz, between 2010 and 2013. The patients were submitted to otorhinolaryngologic clinical examination by endoscopy of the upper airways and digestive tract and to speech-language assessment through directed anamnesis, auditory perception, phonation times and vocal acoustic analysis. The variables of interest were epidemiologic (sex and age) and clinic (lesion location, associated symptoms and voice quality.
Results
26 patients under ML treatment and monitored by speech therapists were studied. 21 (81%) were male and five (19%) female, with ages ranging from 15 to 78 years (54.5+15.0 years). The lesions were distributed in the following structures 88.5% nasal, 38.5% oral, 34.6% pharyngeal and 19.2% laryngeal, with some patients presenting lesions in more than one anatomic site. The main complaint was nasal obstruction (73.1%), followed by dysphonia (38.5%), odynophagia (30.8%) and dysphagia (26.9%). 23 patients (84.6%) presented voice quality perturbations. Dysphonia was significantly associated to lesions in the larynx, pharynx and oral cavity.
Conclusion
We observed that vocal quality perturbations are frequent in patients with mucosal leishmaniasis, even without laryngeal lesions; they are probably associated to disorders of some resonance structures (larynx, pharynx and nasal and oral cavities) or even to compensation mechanisms caused by the presence of lesions in the upper airways and digestive tract. | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Departamento de Fonoaudiologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Estado do Rio de Janeiro. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Universidade Federal do Rio de Janeiro. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil | pt_BR |
Affilliation | Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Universidade Federal do Rio de Janeiro. Departamento de Otorrinolaringologia e Oftalmologia. Rio de Janeiro, RJ, Brasil | pt_BR |
Subject | Leishmaniasis | pt_BR |
Subject | Leishmaniasis, Cutaneous | pt_BR |
Subject | Nasal Obstruction | pt_BR |
Subject | Voice Quality | pt_BR |
DeCS | Leishmaniose | pt_BR |
DeCS | Leishmaniose Cutânea | pt_BR |
DeCS | Obstrução Nasal | pt_BR |
DeCS | Qualidade da Voz | pt_BR |
e-ISSN | 1932-6203 | |