TY - JOUR
T1 - Hyoid Bone Syndrome and Dysphonia
T2 - Can Throat Pain Affect the Voice?
AU - Rubin, Adam D.
AU - Codino, Juliana
AU - Bottalico, Pasquale
AU - Parrish, Sheila
AU - Jackson-Menaldi, Cristina
N1 - Publisher Copyright:
© 2021 The American Laryngological, Rhinological and Otological Society, Inc.
PY - 2021/7
Y1 - 2021/7
N2 - Objectives/Hypothesis: To investigate the relationship of throat pain and dysphonia. Study Design: Prospective cohort study. Methods: Forty-five subjects presenting with hyoid bone syndrome (HBS) and dysphonia were asked to rate their pain on a numerical rating scale and complete the 10-item Voice-Related Quality of Life (V-RQOL) questionnaire prior to and at 1-week follow-up after treatment with triamcinolone injection into the attachments to the affected greater cornu(s). Wilcoxon signed-rank tests were applied to evaluate if the overall V-RQOL scores, the physical functioning (PF) and social–emotional (SE) domain scores, and pain scores changed significantly after treatment. To evaluate how change in perceived pain affected V-RQOL, the differences in the V-RQOL, PF, and SE domain scores, and in pain scores were calculated for each subject. Three linear models were fit to the response variables, ΔV-RQOL, ΔPF, and ΔSE, using ΔPain as a predicting variable. Results: V-RQOL, PF, and SE domain scores, and pain scores all improved significantly with treatment. A bigger decrease in the pain score led to a bigger increase in V-RQOL and domain scores, with slopes varying between −1.1 and −1.4. The PF domain scores showed the greatest improvement with decrease in pain scores. Conclusions: Effective treatment of HBS led to improvement in patients' voice complaints, suggesting that throat pain may have a direct effect on voice. This may be related to compensatory perilaryngeal adjustments patients make when speaking with a “guarding” effect when they have throat pain. Level of Evidence: IV (Cohort study) Laryngoscope, 131:E2303–E2308, 2021.
AB - Objectives/Hypothesis: To investigate the relationship of throat pain and dysphonia. Study Design: Prospective cohort study. Methods: Forty-five subjects presenting with hyoid bone syndrome (HBS) and dysphonia were asked to rate their pain on a numerical rating scale and complete the 10-item Voice-Related Quality of Life (V-RQOL) questionnaire prior to and at 1-week follow-up after treatment with triamcinolone injection into the attachments to the affected greater cornu(s). Wilcoxon signed-rank tests were applied to evaluate if the overall V-RQOL scores, the physical functioning (PF) and social–emotional (SE) domain scores, and pain scores changed significantly after treatment. To evaluate how change in perceived pain affected V-RQOL, the differences in the V-RQOL, PF, and SE domain scores, and in pain scores were calculated for each subject. Three linear models were fit to the response variables, ΔV-RQOL, ΔPF, and ΔSE, using ΔPain as a predicting variable. Results: V-RQOL, PF, and SE domain scores, and pain scores all improved significantly with treatment. A bigger decrease in the pain score led to a bigger increase in V-RQOL and domain scores, with slopes varying between −1.1 and −1.4. The PF domain scores showed the greatest improvement with decrease in pain scores. Conclusions: Effective treatment of HBS led to improvement in patients' voice complaints, suggesting that throat pain may have a direct effect on voice. This may be related to compensatory perilaryngeal adjustments patients make when speaking with a “guarding” effect when they have throat pain. Level of Evidence: IV (Cohort study) Laryngoscope, 131:E2303–E2308, 2021.
KW - Hyoid bone syndrome
KW - dysphonia
KW - hoarseness
KW - hyoidynia
KW - throat pain
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U2 - 10.1002/lary.29464
DO - 10.1002/lary.29464
M3 - Article
C2 - 33620110
AN - SCOPUS:85101220332
SN - 0023-852X
VL - 131
SP - E2303-E2308
JO - Laryngoscope
JF - Laryngoscope
IS - 7
ER -