Skip to main content

17.05.2024 | Original Article

Effect of Vocal Function Exercises on the Voice Handicap Index, Vocal Fatigue Index, and Number of Vocal Fatigue Symptoms in Bank Workers: Single-Blinded Randomized Controlled Trial

verfasst von: Mohammad Sedigh Mahmoud Zadeh, Farhad Torabinezhad, Arezoo Saffarian, Jamileh Abolghasemi, Behnoosh Vasaghi-Gharamaleki, Amirmohammad Danesh

Erschienen in: Indian Journal of Otolaryngology and Head & Neck Surgery

Einloggen, um Zugang zu erhalten

Abstract

Vocal fatigue (VF) is a significant portion of occupational voice disorders. Researchers have proposed numerous therapeutic approaches to alleviate VF. However, the efficacy of vocal function exercises (VFEs) as a safe, effective, and simple method is unclear. The current study aims to investigate the effect of VFEs on occupational-related VF in Iranian bank workers. A single-blinded randomized controlled trial with four-level blocking After screening 444 workers, 43 persons with vocal fatigue (VF) were allocated between intervention and control groups. The gender of participants was considered a confounding parameter. Intervention group participants (IGP) (20 males and two females) practiced vocal function exercises (VFEs) (online training) for two weeks, while control group participants (CGP) (20 males and a female) continued their routine lifestyle. The Number of Vocal Fatigue Symptoms (NoVFS), Maximum Phonation Time (MPT), Voice Handicap Index (VHI), and Vocal Fatigue Index (VFI) at pre-intervention and post-intervention levels were gathered and compared. According to the intergroup, pre-/post-intervention differences, and intragroup analysis, the IGP experienced a significant reduction in the NoVFS (P = 0.006, P = 0.009), the mean score VHI (P:0.006, P: 0.001, P: 0.001), the total mean score of VFI (P < 0.001, P < 0.001, P < 0.001), and the first (P = 0.005, P = 0.002, P < 0.001) and second (P = 0.006, P < 0.001) factors’ mean score of VFI. Additionally, there was an improvement in the MPT (P < 0.001, P < 0.001, P < 0.001) and the third factor (P = 0.01, P = 0.004, P = 0.021) mean score of VFI. Vocal function exercises can alleviate symptoms, voice handicaps, tiredness, avoidance, and physical discomfort of vocal fatigue in bank workers. Additionally, it can improve glottal (pulmonary) sufficiency and rest recovery of vocal fatigue in this group of workers.
Literatur
1.
Zurück zum Zitat Sataloff RT (2001) Professional voice users: the evaluation of voice disorders Occupational Medicine (Philadelphia, Pa), 16(4): p. 633 – 47, v. Sataloff RT (2001) Professional voice users: the evaluation of voice disorders Occupational Medicine (Philadelphia, Pa), 16(4): p. 633 – 47, v.
2.
Zurück zum Zitat Titze IR, Lemke J, Montequin D (1997) Populations in the US workforce who rely on voice as a primary tool of trade: a preliminary report. J Voice 11(3):254–259PubMedCrossRef Titze IR, Lemke J, Montequin D (1997) Populations in the US workforce who rely on voice as a primary tool of trade: a preliminary report. J Voice 11(3):254–259PubMedCrossRef
3.
Zurück zum Zitat Niebudek-Bogusz E, Śliwińska-Kowalska M (2013) An overview of occupational voice disorders in Poland. Int J Occup Med Environ Health 26:659–669PubMedCrossRef Niebudek-Bogusz E, Śliwińska-Kowalska M (2013) An overview of occupational voice disorders in Poland. Int J Occup Med Environ Health 26:659–669PubMedCrossRef
4.
Zurück zum Zitat Carding P (2007) Occupational voice disorders: is there a firm case for industrial injuries disablement benefit? Logopedics Phoniatrics Vocology 32(1):47–48PubMedCrossRef Carding P (2007) Occupational voice disorders: is there a firm case for industrial injuries disablement benefit? Logopedics Phoniatrics Vocology 32(1):47–48PubMedCrossRef
5.
Zurück zum Zitat Müderrisoglu Ö (2014) Occupational stress factors in Small Island economies: evidence from Public and private banks in Northern Cyprus. Int J Economic Perspect, 8(3) Müderrisoglu Ö (2014) Occupational stress factors in Small Island economies: evidence from Public and private banks in Northern Cyprus. Int J Economic Perspect, 8(3)
6.
Zurück zum Zitat Yu I, Wong T (1996) Musculoskeletal problems among VDU workers in a Hong Kong bank. Occup Med 46(4):275–280CrossRef Yu I, Wong T (1996) Musculoskeletal problems among VDU workers in a Hong Kong bank. Occup Med 46(4):275–280CrossRef
7.
Zurück zum Zitat de Fatima Marinho de Souza M et al (2002) Chronic fatigue among bank workers in Brazil. Occup Med (Lond) 52(4):187–194CrossRef de Fatima Marinho de Souza M et al (2002) Chronic fatigue among bank workers in Brazil. Occup Med (Lond) 52(4):187–194CrossRef
8.
Zurück zum Zitat Gotaas C, Starr CD (1993) Vocal fatigue among teachers. Folia Phoniatr (Basel) 45(3):120–129PubMedCrossRef Gotaas C, Starr CD (1993) Vocal fatigue among teachers. Folia Phoniatr (Basel) 45(3):120–129PubMedCrossRef
9.
Zurück zum Zitat Kankare E et al (2012) Subjective evaluation of voice and working conditions and phoniatric examination in kindergarten teachers. Folia Phoniatr Logop 64(1):12–19PubMedCrossRef Kankare E et al (2012) Subjective evaluation of voice and working conditions and phoniatric examination in kindergarten teachers. Folia Phoniatr Logop 64(1):12–19PubMedCrossRef
10.
Zurück zum Zitat Williams NR (2003) Occupational groups at risk of voice disorders: a review of the literature. Occup Med (Lond) 53(7):456–460PubMedCrossRef Williams NR (2003) Occupational groups at risk of voice disorders: a review of the literature. Occup Med (Lond) 53(7):456–460PubMedCrossRef
11.
Zurück zum Zitat Casper JK, Leonard R (2006) Understanding voice problems: a physiological perspective for diagnosis and treatment. Lippincott Williams & Wilkins Casper JK, Leonard R (2006) Understanding voice problems: a physiological perspective for diagnosis and treatment. Lippincott Williams & Wilkins
13.
Zurück zum Zitat Solomon NP (2008) Vocal fatigue and its relation to vocal hyperfunction †. Int J Speech Lang Pathol 10(4):254–266PubMedCrossRef Solomon NP (2008) Vocal fatigue and its relation to vocal hyperfunction †. Int J Speech Lang Pathol 10(4):254–266PubMedCrossRef
14.
Zurück zum Zitat McCabe DJ, Titze IR (2002) Chant therapy for treating vocal fatigue among public school teachers McCabe DJ, Titze IR (2002) Chant therapy for treating vocal fatigue among public school teachers
15.
Zurück zum Zitat Laukkanen A-M, Rantala L (2021) Relations between creaky voice and vocal symptoms of fatigue. Folia Phoniatr et Logopaedica 73(2):146–154CrossRef Laukkanen A-M, Rantala L (2021) Relations between creaky voice and vocal symptoms of fatigue. Folia Phoniatr et Logopaedica 73(2):146–154CrossRef
16.
Zurück zum Zitat Nanjundeswaran C et al (2015) Vocal fatigue index (VFI): development and validation. J Voice 29(4):433–440PubMedCrossRef Nanjundeswaran C et al (2015) Vocal fatigue index (VFI): development and validation. J Voice 29(4):433–440PubMedCrossRef
17.
Zurück zum Zitat Södersten M et al (2002) Vocal behavior and vocal loading factors for preschool teachers at work studied with Binaural DAT recordings. J Voice 16(3):356–371PubMedCrossRef Södersten M et al (2002) Vocal behavior and vocal loading factors for preschool teachers at work studied with Binaural DAT recordings. J Voice 16(3):356–371PubMedCrossRef
18.
Zurück zum Zitat Banks RE, Bottalico P, Hunter EJ (2017) The Effect of Classroom Capacity on vocal fatigue as quantified by the vocal fatigue index. Folia Phoniatr Logop 69(3):85–93PubMedCrossRef Banks RE, Bottalico P, Hunter EJ (2017) The Effect of Classroom Capacity on vocal fatigue as quantified by the vocal fatigue index. Folia Phoniatr Logop 69(3):85–93PubMedCrossRef
19.
Zurück zum Zitat Yiu EM, Chan RM (2003) Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. J Voice 17(2):216–227PubMedCrossRef Yiu EM, Chan RM (2003) Effect of hydration and vocal rest on the vocal fatigue in amateur karaoke singers. J Voice 17(2):216–227PubMedCrossRef
20.
Zurück zum Zitat Pasa G, Oates J, Dacakis G (2007) The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers. Logoped Phoniatr Vocol 32(3):128–140PubMedCrossRef Pasa G, Oates J, Dacakis G (2007) The relative effectiveness of vocal hygiene training and vocal function exercises in preventing voice disorders in primary school teachers. Logoped Phoniatr Vocol 32(3):128–140PubMedCrossRef
21.
Zurück zum Zitat Imaezue G, Oyebola M (2017) Treatment of vocal fatigue in teachers. J Otolaryngol ENT Res 7(1):00189 Imaezue G, Oyebola M (2017) Treatment of vocal fatigue in teachers. J Otolaryngol ENT Res 7(1):00189
22.
Zurück zum Zitat Milbrath RL, Solomon NP (2003) Do vocal warm-up exercises alleviate vocal fatigue? Milbrath RL, Solomon NP (2003) Do vocal warm-up exercises alleviate vocal fatigue?
23.
Zurück zum Zitat Stemple JC et al (1994) Efficacy of vocal function exercises as a method of improving voice production. J Voice 8(3):271–278PubMedCrossRef Stemple JC et al (1994) Efficacy of vocal function exercises as a method of improving voice production. J Voice 8(3):271–278PubMedCrossRef
24.
Zurück zum Zitat Angadi V, Croake D, Stemple J (2019) Effects of vocal function exercises: a systematic review. J Voice, 33(1): p. 124.e13-124.e34. Angadi V, Croake D, Stemple J (2019) Effects of vocal function exercises: a systematic review. J Voice, 33(1): p. 124.e13-124.e34.
25.
Zurück zum Zitat Sabol JW, Lee L, Stemple JC (1995) The value of vocal function exercises in the practice regimen of singers. J Voice 9(1):27–36PubMedCrossRef Sabol JW, Lee L, Stemple JC (1995) The value of vocal function exercises in the practice regimen of singers. J Voice 9(1):27–36PubMedCrossRef
26.
Zurück zum Zitat Tay EY, Phyland, Oates J (2012) The effect of vocal function exercises on the voices of aging community choral singers. J Voice, 26(5): p. 672. e19-672. e27. Tay EY, Phyland, Oates J (2012) The effect of vocal function exercises on the voices of aging community choral singers. J Voice, 26(5): p. 672. e19-672. e27.
27.
Zurück zum Zitat Jafari N et al (2017) Vocal function exercises for muscle tension dysphonia: auditory-perceptual evaluation and Self-Assessment Rating. J Voice 31(4):506 .e25-506.e31CrossRef Jafari N et al (2017) Vocal function exercises for muscle tension dysphonia: auditory-perceptual evaluation and Self-Assessment Rating. J Voice 31(4):506 .e25-506.e31CrossRef
28.
Zurück zum Zitat Roy N et al (2001) An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomized clinical trial. J Speech Lang Hear Res 44(2):286–296PubMedCrossRef Roy N et al (2001) An evaluation of the effects of two treatment approaches for teachers with voice disorders: a prospective randomized clinical trial. J Speech Lang Hear Res 44(2):286–296PubMedCrossRef
29.
Zurück zum Zitat Bane M et al (2019) Vocal function exercises for normal voice: the effects of varying dosage. Int J Speech Lang Pathol 21(1):37–45PubMedCrossRef Bane M et al (2019) Vocal function exercises for normal voice: the effects of varying dosage. Int J Speech Lang Pathol 21(1):37–45PubMedCrossRef
30.
Zurück zum Zitat Abou-Rafée M et al (2019) Vocal fatigue in dysphonic teachers who seek treatment. Codas 31(3):e20180120PubMedCrossRef Abou-Rafée M et al (2019) Vocal fatigue in dysphonic teachers who seek treatment. Codas 31(3):e20180120PubMedCrossRef
31.
Zurück zum Zitat Kitch JA, Oates J (1994) The perceptual features of vocal fatigue as self-reported by a group of actors and singers. J Voice 8(3):207–214PubMedCrossRef Kitch JA, Oates J (1994) The perceptual features of vocal fatigue as self-reported by a group of actors and singers. J Voice 8(3):207–214PubMedCrossRef
32.
Zurück zum Zitat Kostyk BE, Rochet AP (1998) Laryngeal airway resistance in teacherswith vocal fatigue: a preliminary study. J Voice 12(3):287–299PubMedCrossRef Kostyk BE, Rochet AP (1998) Laryngeal airway resistance in teacherswith vocal fatigue: a preliminary study. J Voice 12(3):287–299PubMedCrossRef
33.
Zurück zum Zitat Koufman JA, Blalock PD (1988) Vocal fatigue and dysphonia in the professional voice user: Bogart-Bacall syndrome. Laryngoscope 98(5):493–498PubMedCrossRef Koufman JA, Blalock PD (1988) Vocal fatigue and dysphonia in the professional voice user: Bogart-Bacall syndrome. Laryngoscope 98(5):493–498PubMedCrossRef
34.
Zurück zum Zitat Stemple JC, Roy N, Klaben BK (2018) Clinical voice pathology: theory and management. Plural Publishing Stemple JC, Roy N, Klaben BK (2018) Clinical voice pathology: theory and management. Plural Publishing
35.
Zurück zum Zitat Moradi N et al (2013) Cutoff point at voice handicap index used to screen voice disorders among persian speakers. J Voice 27(1):130 .e1-130.e5CrossRef Moradi N et al (2013) Cutoff point at voice handicap index used to screen voice disorders among persian speakers. J Voice 27(1):130 .e1-130.e5CrossRef
36.
Zurück zum Zitat Hunter EJ et al (2020) Toward a consensus description of vocal effort, vocal load, vocal loading, and vocal fatigue. J Speech Lang Hear Res 63(2):509–532PubMedPubMedCentralCrossRef Hunter EJ et al (2020) Toward a consensus description of vocal effort, vocal load, vocal loading, and vocal fatigue. J Speech Lang Hear Res 63(2):509–532PubMedPubMedCentralCrossRef
37.
Zurück zum Zitat Welham NV, Maclagan MA (2003) Vocal fatigue: current knowledge and future directions. J Voice 17(1):21–30PubMedCrossRef Welham NV, Maclagan MA (2003) Vocal fatigue: current knowledge and future directions. J Voice 17(1):21–30PubMedCrossRef
38.
Zurück zum Zitat Jacobson BH et al (1997) The voice handicap index (VHI) development and validation. Am J Speech-Language Pathol 6(3):66–70CrossRef Jacobson BH et al (1997) The voice handicap index (VHI) development and validation. Am J Speech-Language Pathol 6(3):66–70CrossRef
39.
Zurück zum Zitat Moradi N et al (2013) Cross-cultural equivalence and evaluation of psychometric properties of voice handicap index into Persian. J Voice 27(2):258 .e15-258.e22CrossRef Moradi N et al (2013) Cross-cultural equivalence and evaluation of psychometric properties of voice handicap index into Persian. J Voice 27(2):258 .e15-258.e22CrossRef
40.
Zurück zum Zitat Naderifar E et al (2019) Cross-cultural adaptation and validation of the vocal fatigue index into Persian. J Voice 33(6):947e35–947e41CrossRef Naderifar E et al (2019) Cross-cultural adaptation and validation of the vocal fatigue index into Persian. J Voice 33(6):947e35–947e41CrossRef
41.
Zurück zum Zitat Mahmoud Zadeh MS et al (2022) Investigating the Relationship between Medical History and General Health Status of Bank Workers with Voice Handicap Index and vocal fatigue index. Function Disabil J 5(1):69–69CrossRef Mahmoud Zadeh MS et al (2022) Investigating the Relationship between Medical History and General Health Status of Bank Workers with Voice Handicap Index and vocal fatigue index. Function Disabil J 5(1):69–69CrossRef
42.
Zurück zum Zitat Martins RH et al (2016) Voice disorders: etiology and diagnosis. J Voice 30(6):761 .e1-761.e9CrossRef Martins RH et al (2016) Voice disorders: etiology and diagnosis. J Voice 30(6):761 .e1-761.e9CrossRef
43.
Zurück zum Zitat de Jong FI et al (2006) Epidemiology of voice problems in Dutch teachers. Folia Phoniatr Logop 58(3):186–198PubMedCrossRef de Jong FI et al (2006) Epidemiology of voice problems in Dutch teachers. Folia Phoniatr Logop 58(3):186–198PubMedCrossRef
44.
Zurück zum Zitat Helidoni M et al (2012) Voice risk factors in kindergarten teachers in Greece. Folia Phoniatr Logop 64(5):211–216PubMedCrossRef Helidoni M et al (2012) Voice risk factors in kindergarten teachers in Greece. Folia Phoniatr Logop 64(5):211–216PubMedCrossRef
45.
Zurück zum Zitat Hunter EJ, Banks RE (2017) Gender differences in the Reporting of Vocal Fatigue in teachers as quantified by the vocal fatigue index. Ann Otol Rhinol Laryngol 126(12):813–818PubMedPubMedCentralCrossRef Hunter EJ, Banks RE (2017) Gender differences in the Reporting of Vocal Fatigue in teachers as quantified by the vocal fatigue index. Ann Otol Rhinol Laryngol 126(12):813–818PubMedPubMedCentralCrossRef
46.
Zurück zum Zitat Smith E et al (1998) Voice problems among teachers: differences by gender and teaching characteristics. J Voice 12(3):328–334PubMedCrossRef Smith E et al (1998) Voice problems among teachers: differences by gender and teaching characteristics. J Voice 12(3):328–334PubMedCrossRef
47.
Zurück zum Zitat Afkhami M et al (2019) Correlation between vocal fatigue index and voice handicap index scores in persons with laryngeal pathologies. Function Disabil J 2(1):119–124 Afkhami M et al (2019) Correlation between vocal fatigue index and voice handicap index scores in persons with laryngeal pathologies. Function Disabil J 2(1):119–124
48.
Zurück zum Zitat Ohlsson A-C et al (2020) Voice therapy outcome—A randomized clinical trial comparing individual voice therapy, therapy in group, and controls without therapy. J Voice, 34(2): p. 303. e17-303. e26. Ohlsson A-C et al (2020) Voice therapy outcome—A randomized clinical trial comparing individual voice therapy, therapy in group, and controls without therapy. J Voice, 34(2): p. 303. e17-303. e26.
49.
Zurück zum Zitat Gillivan-Murphy P et al (2006) The effectiveness of a voice treatment approach for teachers with self-reported voice problems. J Voice 20(3):423–431PubMedCrossRef Gillivan-Murphy P et al (2006) The effectiveness of a voice treatment approach for teachers with self-reported voice problems. J Voice 20(3):423–431PubMedCrossRef
50.
Zurück zum Zitat Gorman S et al (2008) Aerodynamic changes as a result of vocal function exercises in elderly men. Laryngoscope 118(10):1900–1903PubMedCrossRef Gorman S et al (2008) Aerodynamic changes as a result of vocal function exercises in elderly men. Laryngoscope 118(10):1900–1903PubMedCrossRef
51.
Zurück zum Zitat Teixeira LC, Behlau M (2015) Comparison between vocal function exercises and Voice amplification. J Voice 29(6):718–726PubMedCrossRef Teixeira LC, Behlau M (2015) Comparison between vocal function exercises and Voice amplification. J Voice 29(6):718–726PubMedCrossRef
52.
Zurück zum Zitat Myers BR, Mathy P, Roy N (2022) Behavioral treatment approaches to lowering Pitch in the female Voice. Journal of Voice Myers BR, Mathy P, Roy N (2022) Behavioral treatment approaches to lowering Pitch in the female Voice. Journal of Voice
53.
Zurück zum Zitat Latoszek Bv (2023) The maximum phonation time as marker for voice treatment efficacy: a network meta-analysis. Clin Otolaryngol 48(2):130–138CrossRef Latoszek Bv (2023) The maximum phonation time as marker for voice treatment efficacy: a network meta-analysis. Clin Otolaryngol 48(2):130–138CrossRef
54.
Zurück zum Zitat Sauder C et al (2010) Vocal function exercises for presbylaryngis: a multidimensional assessment of treatment outcomes. Annals Otology Rhinology Laryngology 119(7):460–467CrossRef Sauder C et al (2010) Vocal function exercises for presbylaryngis: a multidimensional assessment of treatment outcomes. Annals Otology Rhinology Laryngology 119(7):460–467CrossRef
55.
Zurück zum Zitat Kodama N, Yumoto E, Sanuki T (2022) Effect of Voice Therapy as a supplement after reinnervation surgery for breathy Dysphonia due to Unilateral Vocal fold paralysis. Journal of Voice Kodama N, Yumoto E, Sanuki T (2022) Effect of Voice Therapy as a supplement after reinnervation surgery for breathy Dysphonia due to Unilateral Vocal fold paralysis. Journal of Voice
56.
Zurück zum Zitat Bane M et al (2022) Vocal function exercises with and without maximally sustained phonation: a randomized controlled trial of individuals with normal voice. J Voice Bane M et al (2022) Vocal function exercises with and without maximally sustained phonation: a randomized controlled trial of individuals with normal voice. J Voice
57.
Zurück zum Zitat Kaneko M et al (2015) Multidimensional analysis on the effect of vocal function exercises on aged vocal Fold atrophy. J Voice 29(5):638–644PubMedCrossRef Kaneko M et al (2015) Multidimensional analysis on the effect of vocal function exercises on aged vocal Fold atrophy. J Voice 29(5):638–644PubMedCrossRef
58.
Zurück zum Zitat Motohashi R et al (2022) Effectiveness of Breath-holding pulling Exercise in patients with vocal fold atrophy. Journal of Voice Motohashi R et al (2022) Effectiveness of Breath-holding pulling Exercise in patients with vocal fold atrophy. Journal of Voice
59.
Zurück zum Zitat Kapsner-Smith MR et al (2015) A randomized controlled trial of two semi-occluded vocal tract voice therapy protocols. J Speech Lang Hear Res 58(3):535–549PubMedPubMedCentralCrossRef Kapsner-Smith MR et al (2015) A randomized controlled trial of two semi-occluded vocal tract voice therapy protocols. J Speech Lang Hear Res 58(3):535–549PubMedPubMedCentralCrossRef
60.
Zurück zum Zitat Pedrosa V et al (2016) The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial. J Voice, 30(3): p. 377. e11-377. e19. Pedrosa V et al (2016) The effectiveness of the comprehensive voice rehabilitation program compared with the vocal function exercises method in behavioral dysphonia: a randomized clinical trial. J Voice, 30(3): p. 377. e11-377. e19.
61.
Zurück zum Zitat da Silva Antonetti AE et al (2023) Efficacy of a semi-occluded vocal tract exercises-therapeutic program in behavioral dysphonia: a randomized and blinded clinical trial. J Voice 37(2):215–225CrossRef da Silva Antonetti AE et al (2023) Efficacy of a semi-occluded vocal tract exercises-therapeutic program in behavioral dysphonia: a randomized and blinded clinical trial. J Voice 37(2):215–225CrossRef
62.
Zurück zum Zitat Angadi V et al (2020) Efficacy of voice therapy in improving vocal function in adults irradiated for laryngeal cancers: a pilot study. J Voice, 34(6): p. 962. e9-962. e18. Angadi V et al (2020) Efficacy of voice therapy in improving vocal function in adults irradiated for laryngeal cancers: a pilot study. J Voice, 34(6): p. 962. e9-962. e18.
Metadaten
Titel
Effect of Vocal Function Exercises on the Voice Handicap Index, Vocal Fatigue Index, and Number of Vocal Fatigue Symptoms in Bank Workers: Single-Blinded Randomized Controlled Trial
verfasst von
Mohammad Sedigh Mahmoud Zadeh
Farhad Torabinezhad
Arezoo Saffarian
Jamileh Abolghasemi
Behnoosh Vasaghi-Gharamaleki
Amirmohammad Danesh
Publikationsdatum
17.05.2024
Verlag
Springer India
Erschienen in
Indian Journal of Otolaryngology and Head & Neck Surgery
Print ISSN: 2231-3796
Elektronische ISSN: 0973-7707
DOI
https://doi.org/10.1007/s12070-024-04741-5

Erhebliches Risiko für Kehlkopfkrebs bei mäßiger Dysplasie

29.05.2024 Larynxkarzinom Nachrichten

Fast ein Viertel der Personen mit mäßig dysplastischen Stimmlippenläsionen entwickelt einen Kehlkopftumor. Solche Personen benötigen daher eine besonders enge ärztliche Überwachung.

Hörschwäche erhöht Demenzrisiko unabhängig von Beta-Amyloid

29.05.2024 Hörstörungen Nachrichten

Hört jemand im Alter schlecht, nimmt das Hirn- und Hippocampusvolumen besonders schnell ab, was auch mit einem beschleunigten kognitiven Abbau einhergeht. Und diese Prozesse scheinen sich unabhängig von der Amyloidablagerung zu ereignen.

„Übersichtlicher Wegweiser“: Lauterbachs umstrittener Klinik-Atlas ist online

17.05.2024 Klinik aktuell Nachrichten

Sie sei „ethisch geboten“, meint Gesundheitsminister Karl Lauterbach: mehr Transparenz über die Qualität von Klinikbehandlungen. Um sie abzubilden, lässt er gegen den Widerstand vieler Länder einen virtuellen Klinik-Atlas freischalten.

Betalaktam-Allergie: praxisnahes Vorgehen beim Delabeling

16.05.2024 Pädiatrische Allergologie Nachrichten

Die große Mehrheit der vermeintlichen Penicillinallergien sind keine. Da das „Etikett“ Betalaktam-Allergie oft schon in der Kindheit erworben wird, kann ein frühzeitiges Delabeling lebenslange Vorteile bringen. Ein Team von Pädiaterinnen und Pädiatern aus Kanada stellt vor, wie sie dabei vorgehen.

Update HNO

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.