Phoniatrics is the medical specialty involved in the management of communication and swallowing disorders. Videoendoscopy (VES) has an important role in the assessment of different disorders in phoniatrics clinical practice: the voice as well as the speech and swallowing mechanisms can be analysed through this procedure. Aim of the study is to describe videoendoscopic application in daily phoniatric practice: our data on the 1627 participants consecutively examined are reported. 2004 VES examinations were performed between March 1999 and December 2002. 1627 participants, 716 males and 911 females, were examined; their age ranged from 0.6 years to 97 years old. The following parameters were considered: a) function to be assessed through VES (voice, speech, swallowing, other); b) phoniatric nosological chapter in the participants with a recognized disease; c) age of the participant; d) job of the participant; d) medical discipline related to the disease identified. Three populations were analysed: the 1627 subject population, the populations requiring a phoniatric consultation for a voice and for a swallowing assessment. The participants examined endoscopically required a phoniatric consultation in order to have a voice or a swallowing assessment respectively in 67% and 20% of the cases. In 411 out of 1095 (37.5%) voice evaluations, no disorder was identified, while in most of the swallowing assessment (93.1%) a clear dysphagic disorder was visible. A bimodal distribution appeared in the 1627 participants and in the voice population with a first peak at age 20-40 and a second peak at age 50-70. In the swallowing population the number of participants examined seem to increase together with age. In the swallowing population pensioners and clerks represent almost 80% of the population; in the total and in the voice populations pensioners as well as teachers, singer and students are well represented. In most cases (52.5%) no clear disease was present. The two most represented areas of disease were otorhinolaryngology and neurology.
|Titolo:||Role of videoendoscopy in phoniatrics: data from three years of daily practice|
|Autori interni:||SCHINDLER, ANTONIO (Primo)|
OTTAVIANI, FRANCESCO (Penultimo)
|Parole Chiave:||phoniatrics ; voice ; swallowing ; speech ; endoscopy|
|Settore Scientifico Disciplinare:||Settore MED/31 - Otorinolaringoiatria|
|Data di pubblicazione:||feb-2005|
|Appare nelle tipologie:||01 - Articolo su periodico|