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[Chronic catarrhal laryngitis in singers].
A I Kryukov1,2, S G Romanenko1, O G Pavlikhin1
1L.I. Sverzhevskiy Research and Clinical Institute of Otorhinolaryngology of the Moscow Healthcare Department, Moscow, Russia.
Vestnik Otorinolaringologii
|April 30, 2021
Summary
Optimizing treatment for singers with chronic catarrhal laryngitis involves addressing non-bacterial irritants and vocal technique. A new scheme using inhalation and trophic therapies improves outcomes and achieves remission.
Area of Science:
- Otolaryngology
- Vocal Health
- Laryngology
Background:
- Chronic catarrhal laryngitis affects professional singers, impacting vocal performance and quality of life.
- Identifying the specific etiologic factors in this population is crucial for effective management.
- Previous treatment strategies may not fully address the multifactorial nature of the condition in singers.
Purpose of the Study:
- To optimize the treatment policy for professional singers diagnosed with chronic catarrhal laryngitis.
- To investigate the primary causes of chronic catarrhal laryngitis in this specific demographic.
- To propose an enhanced, comprehensive treatment regimen.
Main Methods:
- A cohort of 51 singers with chronic catarrhal laryngitis (ages 29-54, 8-22 years of experience) was studied.
- Methods included anamnesis, microbiological investigation, Visual Analog Scale (VAS) voice evaluation, microlaryngoscopy, videolaryngostroboscopy, and acoustic voice analysis (MDVP Kay Pentax).
- Statistical analysis of collected data was performed.
Main Results:
- Non-bacterial irritants, uncontrolled medication use, and imperfect vocal technique were identified as primary causes, not pathogenic flora.
- A significant inflammatory process in the larynx was observed.
- The study demonstrated the limitations of pathogenic flora as an etiologic factor.
Conclusions:
- A comprehensive treatment scheme combining inhalation therapy and drugs enhancing laryngeal mucosal trophic processes is proposed.
- This optimized approach increases treatment effectiveness and promotes stable disease remission.
- Effective management requires addressing irritants and improving vocal hygiene alongside medical treatment.
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