Comprehensive pharmaco-neurological treatment of dysphonia as a result of cervical spine pathology
https://doi.org/10.51793/OS.2025.28.10.008
Abstract
Background. Currently, there is a gradual increase in the number of cases of dysphonia. In individuals whose professional activities involve significant vocal strain, such as teachers, singers, etc., dysphonia may occur 1.4 times more frequently than in the general population. Dysphonia can cause depression, social isolation and decreased quality of life. In professionals, it leads to absence from work and decreased efficiency.
Results. A total of 169 patients were included and divided into two groups. The main group received complex pharmaco-neurological treatment, and the control group received only conservative therapy. All patients underwent instrumental examination before and after treatment: ENT examination using videoendolaryngostroboscopy, ultrasound with elastography, and an assessment of the severity of dysphonia symptoms using the GRBAS scale and the Voice Handicap Index-10 (VHI-10). Complex pharmaco-neurological treatment of patients with functional dysphonia caused by cervical spine pathology showed effectiveness. In the main group, the sonority of the voice improved, hoarseness, the feeling of a «lump» in the throat and pain in the neck disappeared. There was no significant improvement in the control group.
Conclusion. The results of the study show the effectiveness of complex pharmaco-neurological treatment in the main group of patients with functional dysphonia. These patients experienced: improved sonority of the voice, no hoarseness, no feeling of a «lump» in the throat, no pain in the cervical spine.
About the Authors
D. A. Shakurova
Kazan State Medical University; Central City Clinical Hospital № 18 named after Professor K. Sh. Zyatdinov
Россия
Россия
Dilyara A. Shakurova, Cand. of Sci. (Med.), Assiciate Professor of the Otorhinolaryngology Department; otolaryngologist, phoniatrist
49 Butlerova str., Kazan, 420012;
2 Khusaina Mavlyutova str., Kazan, 420101
I. V. Soloveva
Kazan State Medical University
Россия
Россия
Irina V. Soloveva, first-year resident of the Otorhinolaryngology Department
49 Butlerova str., Kazan, 420012
References
1. Stachler R. J., Francis D. O., Schwartz S. R., et al. Clinical Practice Guideline: Hoarseness (Dysphonia) (Update). Otolaryngology – Head and Neck Surgery. 2018; 158 (1). DOI: 10.1177/0194599817751030.
2. Rosa M., Behlau M. Mapping of Vocal Risk in Amateur Choir. J Voice. 2017; 31 (1). DOI: 10.1016/j.jvoice.2016.03.002.
3. Cohen S. M., Kim J., Roy N., Asche C., Courey M. The impact of laryngeal disorders on work-related dysfunction. Laryngoscope. 2012; 122 (7): 1589-1594.
4. Svistushkin V. M., Nikiforova G. N., Pobivantseva A. A. Diagnostics and treatment of dysphonia at the present stage. Meditsinskii sovet. 2020; 6: 67-71. (In Russ.)
5. Dubrovina E. A. The influence of working conditions on the quality of life and the degree of dysphonia in teachers. Hygienic recommendations for their prevention. Rossiiskii vestnik gigieny. 2022; 1: 15-20. (In Russ.)
6. Krishtopova M. A., Semenov S. A., Petrova L. G. Linguistic adaptation and confirmation of the use of the Russian version of the Voice Handicap Index (VHI)-30 questionnaire in patients with dysphonia. Vestnik otorinolaringologii. 2021; 86 (3): 20-27. (In Russ.)
7. Stepanova Yu. E., Gotovyakhina T. V., Korneenkov A. A., Koren E. E. Complex treatment of dysphonia in persons of voice-speech professions. Vestnik otorinolaringologii. 2017; 82 (3): 48-53. (In Russ.)
Review
For citations:
Shakurova D.A., Soloveva I.V. Comprehensive pharmaco-neurological treatment of dysphonia as a result of cervical spine pathology. Lechaschi Vrach. 2025;(10):54-58. (In Russ.) https://doi.org/10.51793/OS.2025.28.10.008
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