Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome
This is the first study assessing the clinical management of severe, isolated dysphonia during post-COVID-19 syndrome. One hundred and fifty-eight subjects met the inclusion criteria for the post-COVID-19 condition as specified by the WHO. Six patients were diagnosed with isolated severe dysphonia,...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/8/1839 |
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| author | Joanna Jeleniewska Ewa Niebudek-Bogusz Jakub Malinowski Joanna Morawska Joanna Miłkowska-Dymanowska Wioletta Pietruszewska |
| author_facet | Joanna Jeleniewska Ewa Niebudek-Bogusz Jakub Malinowski Joanna Morawska Joanna Miłkowska-Dymanowska Wioletta Pietruszewska |
| author_sort | Joanna Jeleniewska |
| collection | DOAJ |
| description | This is the first study assessing the clinical management of severe, isolated dysphonia during post-COVID-19 syndrome. One hundred and fifty-eight subjects met the inclusion criteria for the post-COVID-19 condition as specified by the WHO. Six patients were diagnosed with isolated severe dysphonia, constituting 3.8% of the initial group. The pre- and post-examination protocol consisted of subjective voice self-assessment and routine laryngological examination, followed by an instrumental examination by means of Laryngovideostroboscopy (LVS) and High-Speed Videolaryngoscopy (HSV). The treatment included short-term systemic steroids in decreasing doses, moisturizing inhalations with hyaluronic acid, and protective agents against Laryngopharyngeal Reflux. The kinematic imaging of the glottis performed by means of HSV before treatment showed deviations in the regularity and symmetry of vocal fold vibrations, absence of mucosal wave, and incomplete glottal closure. Improvement of the structural and functional state of the larynx was observed post-treatment. Kymographic sections and Glottal Width Waveform (GWW) graphs obtained from post-treatment HSV recordings showed improvement in vocal fold vibrations. The decrease in mean Jitter and Shimmer was observed, with the following mean values of 3.16 pre-treatment and 2.97 post-treatment for Jitter and 7.16 pre-treatment and 2.77 post-treatment for Shimmer. The post-treatment self-evaluation of voice showed considerable improvement in vocal function and voice quality in all the examined patients. Severe dysphonia in patients with post-COVID-19 syndrome requires urgent ENT diagnosis using instrumental assessment with the evaluation of laryngeal phonatory function and intensive comprehensive treatment. |
| first_indexed | 2024-03-09T04:34:18Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T04:34:18Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-c7d20b3344c4442aa0310008e77d2c4d2023-12-03T13:31:27ZengMDPI AGDiagnostics2075-44182022-07-01128183910.3390/diagnostics12081839Isolated Severe Dysphonia as a Presentation of Post-COVID-19 SyndromeJoanna Jeleniewska0Ewa Niebudek-Bogusz1Jakub Malinowski2Joanna Morawska3Joanna Miłkowska-Dymanowska4Wioletta Pietruszewska5Department of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, PolandDepartment of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, PolandDepartment of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, PolandDepartment of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, PolandDepartment of Pneumology and Allergy, Medical University of Lodz, 90-419 Lodz, PolandDepartment of Otolaryngology, Head and Neck Oncology, Medical University of Lodz, 90-419 Lodz, PolandThis is the first study assessing the clinical management of severe, isolated dysphonia during post-COVID-19 syndrome. One hundred and fifty-eight subjects met the inclusion criteria for the post-COVID-19 condition as specified by the WHO. Six patients were diagnosed with isolated severe dysphonia, constituting 3.8% of the initial group. The pre- and post-examination protocol consisted of subjective voice self-assessment and routine laryngological examination, followed by an instrumental examination by means of Laryngovideostroboscopy (LVS) and High-Speed Videolaryngoscopy (HSV). The treatment included short-term systemic steroids in decreasing doses, moisturizing inhalations with hyaluronic acid, and protective agents against Laryngopharyngeal Reflux. The kinematic imaging of the glottis performed by means of HSV before treatment showed deviations in the regularity and symmetry of vocal fold vibrations, absence of mucosal wave, and incomplete glottal closure. Improvement of the structural and functional state of the larynx was observed post-treatment. Kymographic sections and Glottal Width Waveform (GWW) graphs obtained from post-treatment HSV recordings showed improvement in vocal fold vibrations. The decrease in mean Jitter and Shimmer was observed, with the following mean values of 3.16 pre-treatment and 2.97 post-treatment for Jitter and 7.16 pre-treatment and 2.77 post-treatment for Shimmer. The post-treatment self-evaluation of voice showed considerable improvement in vocal function and voice quality in all the examined patients. Severe dysphonia in patients with post-COVID-19 syndrome requires urgent ENT diagnosis using instrumental assessment with the evaluation of laryngeal phonatory function and intensive comprehensive treatment.https://www.mdpi.com/2075-4418/12/8/1839high-speed videolaryngoscopyHSVdysphoniapost-COVID-19larynxself-assessment of voice |
| spellingShingle | Joanna Jeleniewska Ewa Niebudek-Bogusz Jakub Malinowski Joanna Morawska Joanna Miłkowska-Dymanowska Wioletta Pietruszewska Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome Diagnostics high-speed videolaryngoscopy HSV dysphonia post-COVID-19 larynx self-assessment of voice |
| title | Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome |
| title_full | Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome |
| title_fullStr | Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome |
| title_full_unstemmed | Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome |
| title_short | Isolated Severe Dysphonia as a Presentation of Post-COVID-19 Syndrome |
| title_sort | isolated severe dysphonia as a presentation of post covid 19 syndrome |
| topic | high-speed videolaryngoscopy HSV dysphonia post-COVID-19 larynx self-assessment of voice |
| url | https://www.mdpi.com/2075-4418/12/8/1839 |
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