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Foreign Accent and Forensic Speaker Identification in Voice Lineups: The Influence of Acoustic Features Based on Prosody
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Does CPAP Affect Patient-Reported Voice Outcomes?

Vance Hartke1, Amanda Gillespie2, Libby J Smith3

  • 11 University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|January 17, 2018
PubMed
Summary
This summary is machine-generated.

Continuous positive airway pressure (CPAP) for obstructive sleep apnea (OSA) did not worsen voice or sinonasal symptoms. CPAP therapy significantly improved reflux symptoms in OSA patients.

Keywords:
Reflux Symptom Index (RSI)Voice Handicap Index (VHI)continuous positive airway pressure (CPAP)laryngopharyngeal refluxobstructive sleep apnea (OSA)

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Area of Science:

  • Otolaryngology
  • Sleep Medicine
  • Respiratory Medicine

Background:

  • Upper aerodigestive tract symptoms are prevalent in patients with obstructive sleep apnea (OSA).
  • The impact of continuous positive airway pressure (CPAP) on these symptoms is not well-defined.
  • Therapy side effects can reduce CPAP adherence, necessitating an understanding of its effects on related symptoms.

Purpose of the Study:

  • To investigate whether CPAP therapy negatively affects voice, sinonasal, and reflux symptoms in patients with OSA.
  • To assess changes in patient-reported outcomes after initiating CPAP.

Main Methods:

  • A case series design was employed at an academic otolaryngology sleep center.
  • Newly diagnosed OSA patients were evaluated before and 6 months after starting CPAP.
  • Data included CPAP usage, Reflux Symptom Index (RSI), Epworth Sleepiness Scale (ESS), Voice Handicap Index 10 (VHI-10), Sino-Nasal Questionnaire (SNQ), and oral dryness VAS.

Main Results:

  • Among 11 CPAP-adherent participants, the mean RSI significantly improved from 22.0 to 9.5 (P = .002).
  • No significant changes were observed in oral dryness VAS, VHI-10, or SNQ scores after 6 months of CPAP.
  • Patient-reported voice and sinonasal symptoms did not worsen with CPAP therapy.

Conclusions:

  • CPAP therapy in OSA patients was associated with a significant reduction in reflux symptoms.
  • CPAP does not appear to negatively impact patient-reported voice or sinonasal symptoms in the short term.
  • Further research with larger sample sizes is warranted to confirm these findings.